DEPARTMENT OF INSURANCE
Affiliations
NameQuility Affinity Insurance Services LLCDOIID1097623NAIC NPN19639417
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/11/2020 3/31/2026
ActiveNon ResidentAgentHealth9/11/2020 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/7/2021 
ActiveAetna Health Inc. (PA)660717Agent - Health6/9/2021 
ActiveAetna Health and Life Insurance Company300523Agent - Health6/7/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health6/9/2021 
ActiveAetna Life Insurance Company301140Agent - Health6/9/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/10/2022 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/6/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health10/6/2021 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health10/6/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/7/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/7/2021 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life2/19/2021 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health12/28/2021 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life12/28/2021 
ActiveLife Insurance Company of the Southwest301867Agent - Health8/19/2021 
ActiveLife Insurance Company of the Southwest301867Agent - Life8/19/2021 
ActiveNorth American Company for Life and Health Insurance300291Agent - Life9/30/2022 
InactivePruco Life Insurance Company300954Agent - Life4/19/202211/23/2022
ActiveRoyal Neighbors of America301646Agent - Life5/21/2021 
ActiveSilverScript Insurance Company663526Agent - Health6/9/2021 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/8/20225/29/2023
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/8/20226/1/2023
InactiveWestern-Southern Life Assurance Company301590Agent - Life2/17/202211/14/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveEllison, Michael B 663049Agent - Health9/11/2020 
ActiveEllison, Michael B 663049Agent - Life9/11/2020 
ActivePope, Brian Christopher 323486Agent - Health9/11/2020 
ActivePope, Brian Christopher 323486Agent - Life9/11/2020 

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