DEPARTMENT OF INSURANCE

Affiliations

Name	Siegel, Alexander Drake	DOIID	937363	NAIC NPN	17943528

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/17/2016	2/29/2024
Inactive	Non Resident	Agent	Health	11/17/2016	2/29/2024
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/28/2021	2/29/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/28/2021	2/29/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/28/2021	2/29/2024
Inactive	Aspen American Insurance Company	301513	Agent - Health	5/1/2020	12/14/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/27/2019	11/18/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/27/2019	11/18/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/13/2018	7/18/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/13/2018	7/18/2019
Inactive	Companion Life Insurance Company	300191	Agent - Health	2/13/2017	2/6/2018
Inactive	Continental American Insurance Company	301700	Agent - Health	2/25/2019	10/3/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	2/25/2019	10/3/2019
Inactive	Everest Reinsurance Company	301836	Agent - Health	3/22/2017	1/29/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	1/17/2018	5/24/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	1/17/2018	5/24/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/13/2021	3/5/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/13/2021	3/5/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	1/26/2017	1/24/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	1/26/2017	1/24/2018
Inactive	Reserve National Insurance Company	301073	Agent - Health	9/16/2019	2/29/2020
Inactive	Reserve National Insurance Company	301073	Agent - Life	9/16/2019	2/29/2020
Inactive	Unified Life Insurance Company	543169	Agent - Health	2/3/2017	12/28/2017
Inactive	United States Fire Insurance Company	582240	Agent - Health	8/28/2018	2/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	12/17/2019	8/16/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Life	1/17/2018	5/24/2018
Inactive	Ushealth Advisors Llc	713288	Agent - Health	1/17/2018	5/24/2018