DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Source Ins LLC	DOIID	912999	NAIC NPN	17907665

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/18/2016	3/31/2020
Inactive	Non Resident	Agent	Health	4/18/2016	3/31/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019	3/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/15/2017	3/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/15/2017	3/31/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018	3/31/2020
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	2/15/2017	3/31/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	9/28/2017	12/28/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	9/28/2017	12/28/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	8/15/2016	4/16/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	8/15/2016	4/16/2018
Inactive	Medico Insurance Company	301559	Agent - Health	8/15/2016	12/26/2018
Inactive	Medico Insurance Company	301559	Agent - Life	8/15/2016	12/26/2018
Inactive	Reserve National Insurance Company	301073	Agent - Health	3/13/2017	7/20/2018
Inactive	Reserve National Insurance Company	301073	Agent - Life	3/13/2017	7/20/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/24/2019	3/31/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/17/2019	3/31/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/20/2018	3/31/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sword, Jason Kyle	785349	Agent - Health	4/18/2016	3/31/2020
Inactive	Sword, Jason Kyle	785349	Agent - Life	4/18/2016	3/31/2020