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	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