DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Halsey Insurance Group Llc	DOIID	919585	NAIC NPN	17992766

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/8/2022		3/31/2026
Active	Resident	Agent	Life	6/8/2022		3/31/2026
* 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	Ameritas Life Insurance Corporation	300126	Agent - Health	11/23/2019	3/31/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/12/2016	3/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/12/2016	3/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/12/2016	3/31/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/13/2018	4/30/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/23/2016	9/20/2016
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/23/2016	9/20/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	8/11/2016	2/22/2017
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	8/11/2016	2/22/2017
Inactive	Medico Insurance Company	301559	Agent - Health	12/4/2018	3/31/2022
Inactive	Medico Insurance Company	301559	Agent - Life	12/4/2018	3/31/2022
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	12/21/2018	3/31/2022
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	12/21/2018	3/31/2022
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	7/24/2016	9/6/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/7/2018	8/10/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/7/2018	8/10/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Halsey, Darrell R	687760	Agent - Health	6/8/2022
Active	Halsey, Darrell R	687760	Agent - Life	6/8/2022