DEPARTMENT OF INSURANCE
Affiliations
NamePendergrass, Lewis EdwardDOIID329309NAIC NPN816909
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth6/18/2012 4/30/2026
ActiveResidentAgentLife6/18/2012 4/30/2026
* 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
Agent02/15/202604/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive5 Star Life Insurance Company300673Agent - Health11/29/20135/10/2018
Inactive5 Star Life Insurance Company300673Agent - Life11/29/20135/10/2018
ActiveAccendo Insurance Company300312Agent - Life4/1/2024 
ActiveAetna Health Inc. (PA)660717Agent - Health9/11/2024 
ActiveAetna Health and Life Insurance Company300523Agent - Health4/1/2024 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/11/2024 
ActiveAetna Life Insurance Company301140Agent - Health9/11/2024 
InactiveAetna Life Insurance Company301140Agent - Life6/1/201310/26/2016
InactiveAllianz Life Insurance Company of North America301791Agent - Health7/25/200510/16/2008
ActiveAllianz Life Insurance Company of North America301791Agent - Life10/24/2024 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life6/21/201212/30/2016
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health10/1/201211/20/2013
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life5/20/20064/30/2012
ActiveAmerican General Life Insurance Company301585Agent - Health12/31/2021 
ActiveAmerican General Life Insurance Company301585Agent - Life12/31/2021 
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health7/25/20052/28/2007
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life6/15/20014/1/2002
InactiveAmerican Heritage Life Insurance Company300272Agent - Health8/31/19994/10/2003
InactiveAmerican Heritage Life Insurance Company300272Agent - Life8/31/19994/10/2003
InactiveAmerican National Insurance Company301861Agent - Health7/2/20126/3/2021
ActiveAmerican National Insurance Company301861Agent - Life7/2/2012 
InactiveAmerican Network Insurance Company301156Agent - Health5/24/20002/25/2002
InactiveAmerican Retirement Life Insurance Company706303Agent - Health8/3/201612/21/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life5/17/201312/18/2014
ActiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life2/10/2025 
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life11/4/20226/20/2024
InactiveAmericom Life & Annuity Insurance Company301843Agent - Life7/25/20054/18/2006
InactiveAmeritas Life Insurance Corporation300126Agent - Health2/9/200711/1/2011
InactiveAmeritas Life Insurance Corporation300126Agent - Life2/9/200711/1/2011
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/31/2025 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/23/2021 
InactiveAnthem Life Insurance Company301209Agent - Health7/25/20055/1/2012
InactiveAnthem Life Insurance Company301209Agent - Life7/25/20055/1/2012
InactiveAssurity Life Insurance Company301099Agent - Health7/25/20055/1/2012
InactiveAssurity Life Insurance Company301099Agent - Life7/25/20055/1/2012
InactiveAthene Annuity & Life Assurance Company301798Agent - Health7/3/20061/12/2010
InactiveAthene Annuity & Life Assurance Company301798Agent - Life10/2/20148/10/2015
InactiveAthene Annuity and Life Company301893Agent - Health10/1/20084/27/2009
InactiveAthene Annuity and Life Company301893Agent - Life2/7/201911/22/2021
InactiveAtlantic Coast Life Insurance Company642114Agent - Life7/27/201612/31/2018
InactiveAviva Life Insurance Company301615Agent - Health7/26/200610/1/2008
InactiveAviva Life Insurance Company301615Agent - Life7/26/200610/1/2008
InactiveBaltimore Life Insurance Company300286Agent - Health2/20/20012/20/2003
InactiveBaltimore Life Insurance Company300286Agent - Life2/20/20012/20/2003
InactiveBankers Fidelity Life Insurance Company300193Agent - Health8/7/200610/26/2009
InactiveBankers Fidelity Life Insurance Company300193Agent - Life8/7/200610/26/2009
ActiveBankers Life and Casualty Company300701Agent - Health7/28/2023 
ActiveBankers Life and Casualty Company300701Agent - Life7/28/2023 
InactiveBanner Life Insurance Company301696Agent - Life4/21/20215/27/2024
InactiveBaptist Health Plan, Inc.300157Agent - Health4/12/20065/1/2012
InactiveBerkshire Life Insurance Company of America300983Agent - Health10/11/201212/30/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Life10/11/201212/30/2020
InactiveBoston Mutual Life Insurance Company300143Agent - Health6/4/19999/27/2001
InactiveBoston Mutual Life Insurance Company300143Agent - Life6/4/19999/27/2001
InactiveBrighthouse Life Insurance Company301829Agent - Health11/17/19994/15/2005
InactiveBrighthouse Life Insurance Company301829Agent - Life7/25/200512/29/2006
InactiveCICA Life Insurance Company of America600487Agent - Life7/25/20052/20/2007
InactiveCIGNA Health & Life Insurance Company301783Agent - Health12/31/202012/27/2022
InactiveCanada Life Assurance Company301192Agent - Health7/9/19999/18/2003
InactiveCanada Life Assurance Company301192Agent - Life7/9/19999/18/2003
InactiveCentral States Indemnity Company of Omaha300285Agent - Health5/16/201612/15/2017
InactiveChase Insurance Life and Annuity Company300518Agent - Health7/25/20054/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life7/25/20054/1/2007
InactiveChesapeake Life Insurance Company (The)301017Agent - Health8/18/20031/26/2005
InactiveChesapeake Life Insurance Company (The)301017Agent - Life8/18/20031/26/2005
InactiveCincinnati Life Insurance Company (The)300601Agent - Health1/9/201710/5/2018
InactiveCincinnati Life Insurance Company (The)300601Agent - Life1/9/201710/5/2018
InactiveCitizens Security Life Insurance Company301257Agent - Health7/25/20055/1/2012
InactiveCitizens Security Life Insurance Company301257Agent - Life7/25/20055/1/2012
InactiveClear Spring Life and Annuity Company300919Agent - Life10/17/20143/12/2021
ActiveColonial Penn Life Insurance Company300491Agent - Health7/28/2023 
ActiveColonial Penn Life Insurance Company300491Agent - Life7/28/2023 
InactiveColumbian Life Insurance Company300810Agent - Life8/29/20228/26/2024
InactiveCombined Insurance Company of America301472Agent - Health9/8/202312/14/2023
InactiveCombined Insurance Company of America301472Agent - Life9/8/202312/14/2023
InactiveCompBenefits Dental, Inc.591692Agent - Health10/16/20127/14/2014
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/23/2021 
InactiveConcord Heritage Life Insurance Company Inc.300895Agent - Health11/4/19993/31/2005
InactiveConcord Heritage Life Insurance Company Inc.300895Agent - Life11/4/19993/31/2005
InactiveContinental Casualty Company301019Agent - Health10/13/199911/1/2002
InactiveDearborn Life Insurance Company300401Agent - Health10/1/201212/8/2017
InactiveDearborn Life Insurance Company300401Agent - Life10/1/201212/8/2017
InactiveDelaware Life Insurance Company301256Agent - Life2/15/200610/23/2008
InactiveDental Concern Inc. (The)301641Agent - Health1/6/202012/15/2020
InactiveEMC National Life Company300388Agent - Health6/22/201211/1/2017
InactiveEMC National Life Company300388Agent - Life6/22/201211/1/2017
InactiveEncova Life Insurance Company301818Agent - Life7/23/20141/1/2024
InactiveEquiTrust Life Insurance Company502870Agent - Life7/24/200612/31/2008
InactiveEverly Life Insurance Company561641Agent - Life5/10/201312/28/2016
InactiveFamily Life Insurance Company300356Agent - Health9/8/200912/28/2010
InactiveFamily Life Insurance Company300356Agent - Life9/8/200912/28/2010
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life7/5/2024 
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health7/25/200511/24/2009
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life9/23/20141/26/2018
InactiveFidelity Security Life Insurance Company300466Agent - Health7/25/200511/7/2008
InactiveFidelity Security Life Insurance Company300466Agent - Life7/25/200511/7/2008
InactiveFirst Alliance Insurance Company301000Agent - Life5/31/20011/1/2005
InactiveFirst Colony Life Insurance Company301179Agent - Health7/25/20051/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life7/25/20051/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health7/25/200512/26/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life7/25/200512/26/2008
InactiveForethought Life Insurance Company301407Agent - Health9/30/20154/25/2017
InactiveForethought Life Insurance Company301407Agent - Life9/30/20154/25/2017
InactiveGenworth Life Insurance Company300623Agent - Health12/7/20121/7/2014
InactiveGenworth Life Insurance Company300623Agent - Life12/7/20121/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health8/1/20131/5/2015
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life8/1/20131/5/2015
InactiveGolden Rule Insurance Company301943Agent - Health8/26/20095/1/2012
InactiveGolden Rule Insurance Company301943Agent - Life8/26/20095/1/2012
InactiveGrange Life Insurance Company300128Agent - Health6/21/20125/21/2019
InactiveGrange Life Insurance Company300128Agent - Life6/21/20125/21/2019
InactiveGreat Southern Life Insurance Company301443Agent - Health11/4/20224/6/2023
InactiveGreat Western Insurance Company501693Agent - Life5/12/20168/25/2020
InactiveGuardian Life Insurance Company of America301316Agent - Health10/11/201212/30/2020
InactiveGuardian Life Insurance Company of America301316Agent - Life10/11/201212/30/2020
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health12/20/20127/14/2014
InactiveHumana Health Plan, Inc.300142Agent - Health2/6/201812/10/2018
InactiveHumana Insurance Company301104Agent - Health10/16/20127/14/2014
InactiveHumana Insurance Company301104Agent - Life10/16/20127/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/16/20127/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/6/202012/15/2020
ActiveIllinois Mutual Life Insurance Company301479Agent - Health4/25/2023 
ActiveIllinois Mutual Life Insurance Company301479Agent - Life4/25/2023 
ActiveIndependent Order of Foresters300743Agent - Life5/24/2017 
InactiveInvestors Heritage Life Insurance Company300363Agent - Health7/25/20055/1/2012
InactiveInvestors Heritage Life Insurance Company300363Agent - Life7/25/20055/1/2012
InactiveJefferson National Life Insurance Company300258Agent - Life7/25/20056/8/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Health7/25/200512/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life7/25/200512/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20086/8/2011
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/20086/8/2011
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life7/25/200512/12/2006
InactiveKanawha Insurance Company300127Agent - Health10/16/20127/14/2014
InactiveKanawha Insurance Company300127Agent - Life10/16/20127/14/2014
InactiveKentucky Home Life Insurance Company300477Agent - Health7/25/20055/1/2012
InactiveKentucky Home Life Insurance Company300477Agent - Life7/25/20059/13/2007
ActiveLiberty Bankers Life Insurance Company542461Agent - Life8/13/2018 
InactiveLife Insurance Company of Alabama301439Agent - Health12/3/20148/11/2016
InactiveLife Insurance Company of Alabama301439Agent - Life12/3/20148/11/2016
InactiveLife Investors Insurance Company of America301793Agent - Health12/8/19998/16/2002
InactiveLife Investors Insurance Company of America301793Agent - Life12/8/19998/16/2002
InactiveLifeUSA Insurance Company300386Agent - Health9/30/19998/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life9/30/19998/2/2002
InactiveLincoln Benefit Life Company301110Agent - Health8/26/200612/22/2010
InactiveLincoln Benefit Life Company301110Agent - Life8/26/200612/22/2010
InactiveLincoln Heritage Life Insurance Company500016Agent - Health1/24/20146/12/2014
InactiveLincoln Heritage Life Insurance Company500016Agent - Life1/24/20146/12/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Health11/3/20086/23/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Life11/3/20086/23/2009
InactiveLoyal American Life Insurance Company301172Agent - Health9/14/20115/1/2012
InactiveLoyal American Life Insurance Company301172Agent - Life1/16/20015/6/2002
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health5/20/20022/13/2004
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life5/20/20022/13/2004
InactiveMedAmerica Insurance Company301568Agent - Health6/27/20115/1/2012
InactiveMedico Insurance Company301559Agent - Health2/27/201312/26/2014
InactiveMedico Insurance Company301559Agent - Life2/27/201312/26/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health2/17/20105/1/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life2/17/20105/1/2012
InactiveMinnesota Life Insurance Company300488Agent - Health12/17/20095/1/2012
InactiveMinnesota Life Insurance Company300488Agent - Life12/17/20095/1/2012
InactiveMutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company300585Agent - Life8/17/200612/29/2011
InactiveMutual of Omaha Insurance Company301012Agent - Health11/26/201210/22/2013
InactiveNassau Life Insurance Company of Kansas300667Agent - Health2/26/20095/1/2012
InactiveNational Guardian Life Insurance Company300596Agent - Health8/25/20032/4/2005
InactiveNational Guardian Life Insurance Company300596Agent - Life8/25/20032/4/2005
InactiveNational States Insurance Company300579Agent - Health8/12/19996/9/2000
InactiveNational States Insurance Company300579Agent - Life8/12/19996/9/2000
InactiveNational Travelers Life Company300304Agent - Health2/22/19996/30/2003
InactiveNational Travelers Life Company300304Agent - Life2/22/19996/30/2003
InactiveNational Western Life Insurance Company301515Agent - Life11/7/20095/1/2012
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health10/16/2024 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life10/16/2024 
InactiveNorth American Company for Life and Health Insurance300291Agent - Health7/25/20053/22/2007
ActiveNorth American Company for Life and Health Insurance300291Agent - Life7/25/2024 
InactiveOccidental Life Insurance Company of North Carolina301185Agent - Health8/31/201010/21/2010
InactiveOccidental Life Insurance Company of North Carolina301185Agent - Life8/31/201010/21/2010
InactiveOld American Insurance Company300762Agent - Life10/4/20165/31/2017
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health2/12/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life2/12/20013/31/2003
InactiveOmaha Insurance Company751908Agent - Health1/30/20155/23/2016
InactivePacifiCare Life and Health Insurance Company301304Agent - Health11/20/20078/29/2011
InactivePan-American Assurance Company301533Agent - Health8/15/20034/28/2005
InactivePan-American Assurance Company301533Agent - Life8/15/20034/28/2005
InactivePan-American Life Insurance Company301530Agent - Health8/15/20034/28/2005
InactivePan-American Life Insurance Company301530Agent - Life1/1/20241/3/2025
InactivePaul Revere Life Insurance Company300971Agent - Health8/26/199912/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life8/26/199912/11/2002
InactivePekin Life Insurance Company300951Agent - Health10/1/20176/18/2020
InactivePekin Life Insurance Company300951Agent - Life10/1/20176/18/2020
InactivePenn Treaty Network America Insurance Company301297Agent - Health9/2/200811/27/2008
InactivePenn Treaty Network America Insurance Company301297Agent - Life9/2/200811/27/2008
InactivePhysicians Life Insurance Company300924Agent - Life4/15/20148/27/2014
InactivePhysicians Mutual Insurance Company, Inc.301084Agent - Health4/15/20148/27/2014
InactivePrincipal Life Insurance Company300129Agent - Health7/25/200512/8/2008
InactivePrincipal Life Insurance Company300129Agent - Life7/25/200512/8/2008
InactiveProfessional Insurance Company301281Agent - Health7/25/200511/9/2009
InactiveProfessional Insurance Company301281Agent - Life7/25/200511/9/2009
ActiveProtective Life Insurance Company300638Agent - Health6/18/2014 
ActiveProtective Life Insurance Company300638Agent - Life6/18/2014 
InactiveProtective Life Insurance Company of Kentucky300663Agent - Health7/25/20058/26/2005
InactiveProtective Life Insurance Company of Kentucky300663Agent - Life7/25/20058/26/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/25/200512/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/25/200512/30/2009
InactivePruco Life Insurance Company300954Agent - Health7/25/20055/1/2012
InactivePruco Life Insurance Company300954Agent - Life7/8/201312/24/2018
InactivePuritan Life Insurance Company of America301892Agent - Health8/7/20088/18/2008
InactivePuritan Life Insurance Company of America301892Agent - Life8/7/20088/18/2008
InactiveReassure America Life Insurance Company301902Agent - Health7/29/19999/20/2004
InactiveReassure America Life Insurance Company301902Agent - Life7/29/19999/20/2004
InactiveReliaStar Life Insurance Company301712Agent - Health7/8/20108/17/2010
InactiveReliaStar Life Insurance Company301712Agent - Life7/8/20108/17/2010
InactiveReliaStar Life Insurance Company of New York301018Agent - Health7/25/20056/25/2008
InactiveReliaStar Life Insurance Company of New York301018Agent - Life7/25/20056/25/2008
InactiveReserve National Insurance Company301073Agent - Health3/8/20137/31/2014
InactiveReserve National Insurance Company301073Agent - Life3/8/20137/31/2014
InactiveS.USA Life Insurance Company, Inc.301774Agent - Health2/5/20186/25/2019
InactiveSILAC Insurance Company300535Agent - Health8/3/200912/8/2010
InactiveSILAC Insurance Company300535Agent - Life7/17/20201/4/2022
InactiveSecurity Life Insurance Company of America300936Agent - Health1/26/200112/6/2002
InactiveSecurity Life Insurance Company of America300936Agent - Life1/26/200112/6/2002
InactiveSecurity Life of Denver Insurance Company300648Agent - Health7/8/20108/17/2010
InactiveSecurity Life of Denver Insurance Company300648Agent - Life7/8/20108/17/2010
InactiveSecurity Mutual Life Insurance Company of NY300708Agent - Health7/25/20053/16/2007
InactiveSecurity Mutual Life Insurance Company of NY300708Agent - Life7/25/20053/16/2007
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health7/14/199910/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life7/14/199910/1/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health8/30/199911/19/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life8/30/199911/19/2003
InactiveSettlers Life Insurance Company300189Agent - Life4/9/20011/24/2005
ActiveSilverScript Insurance Company663526Agent - Health9/11/2024 
InactiveStandard Insurance Company300185Agent - Health12/1/20105/1/2012
InactiveStandard Insurance Company300185Agent - Life12/1/20105/1/2012
InactiveStandard Life and Accident Insurance Company301534Agent - Health5/29/20149/8/2016
InactiveStandard Life and Accident Insurance Company301534Agent - Life5/29/20141/20/2017
InactiveState Mutual Insurance Company300359Agent - Health9/18/201711/28/2018
InactiveStonebridge Life Insurance Company301614Agent - Health6/15/20105/1/2012
InactiveStonebridge Life Insurance Company301614Agent - Life6/15/20105/1/2012
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life6/8/201712/17/2020
InactiveTime Insurance Company300683Agent - Health4/13/20095/1/2012
InactiveTime Insurance Company300683Agent - Life4/13/20095/1/2012
InactiveTransamerica Assurance Company300893Agent - Health7/6/19998/25/2003
InactiveTransamerica Assurance Company300893Agent - Life7/6/19998/25/2003
InactiveTransamerica Life Insurance Company300571Agent - Health7/9/20158/15/2017
InactiveTransamerica Life Insurance Company300571Agent - Life7/9/20158/15/2017
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life7/25/200510/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health5/28/19997/28/2003
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life5/28/19997/28/2003
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/9/20158/11/2016
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/9/20158/11/2016
ActiveTrinity Life Insurance Company552459Agent - Life11/29/2018 
InactiveU.S. Financial Life Insurance Company301812Agent - Life7/25/20058/8/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health7/25/200512/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life7/25/200512/30/2009
InactiveUnion Central Life Insurance Company300307Agent - Health7/25/20058/4/2008
InactiveUnion Central Life Insurance Company300307Agent - Life7/25/20058/4/2008
InactiveUnion Fidelity Life Insurance Company301136Agent - Health11/9/19992/20/2001
InactiveUnion Fidelity Life Insurance Company301136Agent - Life11/9/19992/20/2001
InactiveUnion Security Insurance Company301844Agent - Health8/6/199912/31/2000
InactiveUnion Security Insurance Company301844Agent - Life8/6/199912/31/2000
ActiveUnited American Insurance Company300910Agent - Health5/27/2025 
ActiveUnited American Insurance Company300910Agent - Life5/27/2025 
InactiveUnited Home Life Insurance Company300421Agent - Life3/30/20125/1/2012
InactiveUnited Security Assurance Company of Pennsylvania736757Agent - Health10/1/201211/13/2020
InactiveUnited Security Assurance Company of Pennsylvania736757Agent - Life10/1/201211/13/2020
InactiveUnited World Life Insurance Company300532Agent - Health12/15/200812/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/26/201210/22/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/26/201210/22/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Health11/20/20078/29/2011
InactiveUnitedHealthcare Insurance Company300946Agent - Life7/25/200511/22/2005
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health2/11/20021/17/2003
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life2/11/20021/17/2003
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/25/200511/22/2005
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/20118/29/2011
InactiveWashington National Insurance Company300587Agent - Health7/27/202310/11/2023
InactiveWashington National Insurance Company300587Agent - Life7/27/202310/11/2023
InactiveWellCare Health Insurance of Arizona, Inc.501692Agent - Health10/27/20089/15/2009
InactiveWellCare Health Insurance of Arizona, Inc.501692Agent - Life10/27/20084/29/2010
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/27/20089/15/2009
InactiveWellpoint Life and Health Insurance Company300469Agent - Health7/25/200512/3/2010
InactiveWellpoint Life and Health Insurance Company300469Agent - Life7/25/200512/3/2010
InactiveWest Coast Life Insurance Company301607Agent - Health7/25/200511/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life7/25/200511/16/2011
InactiveWestern National Life Insurance Company300461Agent - Life7/25/20051/9/2008
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health6/15/20105/1/2012
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life6/15/20105/1/2012
Inactive300277Agent - Life7/25/20051/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life7/25/20056/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health7/25/20056/23/2008
InactiveDesignated Agent Company Inc.681257Agent - Life12/9/20132/17/2025
InactiveDesignated Agent Company Inc.681257Agent - Health12/9/20132/17/2025
InactiveMedlink Inc400721Agent - Life6/22/20123/31/2024
InactiveMedlink Inc400721Agent - Health6/22/20123/31/2024
InactiveMorris-Roby, Inc.520274Agent - Life7/25/20053/31/2009
InactiveMorris-Roby, Inc.520274Agent - Health7/25/20053/31/2009
InactiveRoby-Morris, Inc.543898Agent - Life7/25/20052/5/2007
InactiveRoby-Morris, Inc.543898Agent - Health7/25/20052/5/2007

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