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DEPARTMENT OF INSURANCE
Affiliations
Name
Amac Broker Services, Inc.
DOIID
898325
NAIC NPN
17646902
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
1/19/2022
3/31/2025
Active
Non Resident
Agent
Life
1/19/2022
3/31/2025
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2025
03/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Aetna Health Inc. (PA)
660717
Agent - Health
1/21/2022
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
11/21/2017
10/1/2021
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
1/27/2022
Active
Aetna Life Insurance Company
301140
Agent - Health
1/27/2022
Inactive
Aetna Life Insurance Company
301140
Agent - Life
11/16/2017
10/1/2021
Inactive
American Continental Insurance Company
643130
Agent - Life
11/21/2017
8/11/2021
Active
American General Life Insurance Company
301585
Agent - Health
9/2/2022
Active
American General Life Insurance Company
301585
Agent - Life
9/2/2022
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/10/2016
6/24/2016
Inactive
Anthem Life Insurance Company
301209
Agent - Health
3/10/2016
6/24/2016
Inactive
Anthem Life Insurance Company
301209
Agent - Life
3/10/2016
6/24/2016
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
11/21/2017
10/1/2021
Inactive
Everest Reinsurance Company
301836
Agent - Health
11/7/2016
10/1/2021
Inactive
First Health Life & Health Insurance Company
301735
Agent - Health
11/16/2017
10/1/2021
Inactive
Medico Corp Life Insurance Company
301777
Agent - Health
7/11/2017
4/18/2018
Inactive
Medico Corp Life Insurance Company
301777
Agent - Life
7/11/2017
4/18/2018
Inactive
Medico Insurance Company
301559
Agent - Health
7/11/2017
12/26/2018
Inactive
Medico Insurance Company
301559
Agent - Life
7/11/2017
12/26/2018
Active
National Health Insurance Company
300554
Agent - Health
7/16/2022
Active
National Health Insurance Company
300554
Agent - Life
7/16/2022
Active
SilverScript Insurance Company
663526
Agent - Health
1/21/2022
Active
Tier One Insurance Company
301056
Agent - Health
4/3/2023
Active
Tier One Insurance Company
301056
Agent - Life
4/3/2023
Active
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
4/6/2022
Active
WellCare Prescription Insurance Inc.
654329
Agent - Health
4/6/2022
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Keiffert, Rebecca R
747792
Agent - Health
1/19/2022
Active
Keiffert, Rebecca R
747792
Agent - Life
1/19/2022
Inactive
Weber, Daniel
897427
Agent - Health
11/9/2015
7/31/2021
Inactive
Weber, Daniel
897427
Agent - Life
11/9/2015
7/31/2021
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