DEPARTMENT OF INSURANCE
Affiliations
NameFaircloth, Sirena MDOIID971917NAIC NPN18439821
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/2/2023 6/30/2026
ActiveNon ResidentAgentHealth10/2/2023 6/30/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/20216/30/2022
ActiveAetna Health Inc. (PA)660717Agent - Health10/29/2023 
InactiveAetna Health and Life Insurance Company300523Agent - Health11/3/20176/30/2022
ActiveAetna Health of Ohio Inc.1065035Agent - Health10/29/2023 
ActiveAetna Life Insurance Company301140Agent - Health10/29/2023 
InactiveAmerican General Life Insurance Company301585Agent - Health6/25/20216/30/2022
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/20/20195/31/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/20215/16/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/23/20215/16/2022
InactiveCIGNA Health & Life Insurance Company301783Agent - Health12/9/20196/30/2022
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/23/20215/16/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health11/3/20176/30/2022
InactiveGPM Health and Life Insurance Company927255Agent - Health8/7/20192/20/2022
InactiveHumana Health Plan, Inc.300142Agent - Health1/5/20186/8/2018
InactiveHumana Insurance Company301104Agent - Health1/5/20186/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/5/20186/8/2018
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health11/15/201712/29/2018
InactiveMutual of Omaha Insurance Company301012Agent - Health11/4/20198/1/2022
InactiveOmaha Insurance Company751908Agent - Health1/23/20188/8/2018
ActiveSilverScript Insurance Company663526Agent - Health10/29/2023 
InactiveUnited World Life Insurance Company300532Agent - Health11/4/20198/1/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/4/20198/1/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health12/20/20196/2/2022
InactiveTZ Insurance Solutions LLC727470Agent - Health11/12/20184/18/2019

© Commonwealth of Kentucky. All rights reserved.