DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Service Of Seniors	DOIID	1246780	NAIC NPN	20557297

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/10/2024		3/31/2026
Active	Non Resident	Agent	Life	6/10/2024		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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	1/2/2023	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	1/2/2023	3/31/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/2/2023	3/31/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/2/2023	3/31/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/2/2023	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Skaggs, Dale A	798651	Agent - Health	6/10/2024
Active	Skaggs, Dale A	798651	Agent - Life	6/10/2024