DEPARTMENT OF INSURANCE

Affiliations

Name	Mercurio Insurance Services	DOIID	948756	NAIC NPN	18361427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	3/24/2017	3/31/2027
Active	Resident	Agent	Life	3/24/2017	3/31/2027
* 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	02/12/2025	02/12/2025	Yes

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	9/17/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/17/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/17/2024
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	5/1/2017
Active	American General Life Insurance Company	301585	Agent - Life	2/23/2022
Active	American Life & Security Corp	1055058	Agent - Life	12/11/2023
Inactive	American National Insurance Company	301861	Agent - Health	5/3/2017	6/2/2021
Active	American National Insurance Company	301861	Agent - Life	5/3/2017
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/25/2023	11/15/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/28/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/28/2024
Active	Aspida Life Insurance Company	301934	Agent - Life	5/12/2023
Active	Athene Annuity and Life Company	301893	Agent - Life	5/2/2017
Inactive	Atlantic Coast Life Insurance Company	642114	Agent - Health	7/1/2019	8/21/2023
Active	Atlantic Coast Life Insurance Company	642114	Agent - Life	4/1/2024
Inactive	Bankers Life Insurance Company	301784	Agent - Life	5/23/2018	2/8/2019
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/9/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/20/2020	1/6/2025
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	5/8/2017
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/28/2024
Active	Delaware Life Insurance Company	301256	Agent - Life	5/3/2017
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	1/23/2025
Active	EquiTrust Life Insurance Company	502870	Agent - Life	10/26/2023
Active	Farmers Life Insurance Company	1332324	Agent - Life	11/14/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/19/2019
Active	Forethought Life Insurance Company	301407	Agent - Health	9/7/2020
Active	Forethought Life Insurance Company	301407	Agent - Life	9/7/2020
Active	Guaranty Income Life Insurance Company	552451	Agent - Health	7/1/2022
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	7/1/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	4/3/2025
Active	Humana Insurance Company	301104	Agent - Health	1/21/2025
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	10/24/2021
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	3/24/2020
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/24/2020
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/25/2017
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/25/2017
Active	Loyal American Life Insurance Company	301172	Agent - Health	3/25/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/28/2020	2/17/2023
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	5/25/2017	12/1/2021
Active	Medico Insurance Company	301559	Agent - Health	1/22/2025
Active	Medico Insurance Company	301559	Agent - Life	1/22/2025
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	5/2/2017
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/2/2017
Active	North American Company for Life and Health Insurance	300291	Agent - Life	4/20/2017
Active	Oceanview Life and Annuity Company	301868	Agent - Life	4/19/2024
Active	Pacific Life Insurance Company	301848	Agent - Health	10/28/2021
Active	Pacific Life Insurance Company	301848	Agent - Life	10/28/2021
Active	Principal National Life Insurance Company	301926	Agent - Life	8/2/2017
Active	Pruco Life Insurance Company	300954	Agent - Life	9/9/2024
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	8/21/2017
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	9/14/2017	3/15/2019
Active	Security Benefit Life Insurance Company	300583	Agent - Life	4/29/2017
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	10/24/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/17/2024
Active	State Life Insurance Company	301497	Agent - Health	6/27/2022
Active	State Life Insurance Company	301497	Agent - Life	6/27/2022
Active	Symetra Life Insurance Company	301691	Agent - Health	6/29/2017
Active	Symetra Life Insurance Company	301691	Agent - Life	6/29/2017
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/17/2022
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/17/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/9/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/9/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/20/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/20/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bolton, Troy Wayne	673698	Agent - Health	5/11/2017
Active	Bolton, Troy Wayne	673698	Agent - Life	4/5/2017
Inactive	Connolly, Christopher Michael	795155	Agent - Life	4/5/2017	4/13/2017
Inactive	Ebelhar, Andrew Clark	1002904	Agent - Life	10/1/2019	5/16/2022
Active	Gillette, Elizabeth	1254169	Agent - Health	5/8/2024
Active	Gillette, Elizabeth	1254169	Agent - Life	5/8/2024
Active	Mercurio, Donald Alan	302289	Agent - Health	3/24/2017
Active	Mercurio, Donald Alan	302289	Agent - Life	3/24/2017
Denied	Mercurio, Nicholas Alan	899138	Agent - Life
Active	Schneider, Ashley Rose	1173274	Agent - Health	5/7/2024
Active	Schneider, Ashley Rose	1173274	Agent - Life	5/7/2024
Inactive	Walker, Ashley Brooke	894461	Agent - Health	1/8/2019	1/8/2019
Inactive	Walker, Ashley Brooke	894461	Agent - Life	1/8/2019	1/8/2019
Inactive	Walker, Randall Scott	607934	Agent - Health	4/8/2017	8/30/2017
Inactive	Walker, Randall Scott	607934	Agent - Life	4/8/2017	8/30/2017