DEPARTMENT OF INSURANCE
Affiliations
NameStivers, Jody WayneDOIID371608NAIC NPN3650939
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth6/11/2002 10/31/2025
ActiveResidentAgentCasualty8/15/2000 10/31/2025
ActiveResidentAgentProperty8/15/2000 10/31/2025
ActiveResidentAgentLife6/11/2002 10/31/2025
DeniedResidentAgentPersonal Lines   
InactiveResidentAgentGeneral Lines6/19/19968/15/2000 
InactiveResidentAgentHealth Maintenance Organization11/1/19963/31/1997 
ActiveResidentLife & Health ConsultantNot Applicable9/16/2010 10/31/2025
ActiveResidentSurplus Lines BrokerNot Applicable2/18/2021 10/31/2025
* 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
Agent08/15/202510/31/2025   
Life & Health Consultant08/15/202510/31/2025   
Surplus Lines Broker08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health6/27/200312/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health8/19/2016 
ActiveAetna Life Insurance Company301140Agent - Health8/19/2016 
ActiveAetna Life Insurance Company301140Agent - Life8/19/2016 
ActiveAll Savers Insurance Company301940Agent - Health9/14/2022 
ActiveAll Savers Insurance Company301940Agent - Life9/14/2022 
ActiveAmFirst Insurance Company999525Agent - Health7/9/2019 
InactiveAmerican Continental Insurance Company643130Agent - Health12/11/201211/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life12/11/201212/6/2021
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life11/27/20184/18/2024
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/22/2014 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/22/2014 
ActiveAmerican United Life Insurance Company300498Agent - Health8/14/2008 
ActiveAmerican United Life Insurance Company300498Agent - Life8/14/2008 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/14/2025 
InactiveAnthem Life Insurance Company301209Agent - Health8/1/20234/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life8/1/20234/15/2025
InactiveAthene Annuity and Life Company301893Agent - Life7/12/201712/20/2021
InactiveBerkshire Life Insurance Company of America300983Agent - Health8/24/201110/12/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Life8/24/201110/12/2020
InactiveBristol West Insurance Company301655Agent - Casualty12/1/202012/20/2024
InactiveBristol West Insurance Company301655Agent - Property12/1/202012/20/2024
InactiveC.M. Life Insurance Company301335Agent - Health2/11/19971/8/2004
InactiveC.M. Life Insurance Company301335Agent - Life2/11/19971/8/2004
InactiveCHA HMO, Inc.300662Agent - Health Maintenance Organization11/1/19963/31/1997
ActiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health10/13/2003 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20222/17/2025
ActiveCincinnati Life Insurance Company (The)300601Agent - Life2/7/2022 
ActiveColonial Life and Accident Insurance Company300846Agent - Health5/29/2020 
ActiveColonial Life and Accident Insurance Company300846Agent - Life5/29/2020 
InactiveCombined Insurance Company of America301472Agent - Health6/10/20144/13/2020
InactiveCompBenefits Dental, Inc.591692Agent - Health9/28/201512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health1/3/202012/15/2020
InactiveCompBenefits Insurance Company301864Agent - Life12/28/20097/2/2013
ActiveCompanion Life Insurance Company300191Agent - Health9/29/2014 
ActiveCompanion Life Insurance Company300191Agent - Life9/29/2014 
InactiveConnecticut General Life Insurance Company301333Agent - Health10/13/20036/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life10/13/20036/11/2014
InactiveContinental American Insurance Company301700Agent - Health8/13/202011/12/2024
InactiveContinental American Insurance Company301700Agent - Life8/13/202011/12/2024
InactiveCoventry Health and Life Insurance Company301771Agent - Health8/19/20166/15/2022
InactiveDelaware Life Insurance Company301256Agent - Health10/31/201911/21/2022
InactiveDelaware Life Insurance Company301256Agent - Life10/31/201911/21/2022
ActiveDental Concern Inc. (The)301641Agent - Health10/15/2021 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life2/1/201912/13/2021
ActiveFidelity Security Life Insurance Company300466Agent - Health4/4/2014 
ActiveFidelity Security Life Insurance Company300466Agent - Life4/4/2014 
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health6/11/200212/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life6/11/200212/23/2008
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/1/202012/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/1/202012/20/2023
ActiveForethought Life Insurance Company301407Agent - Health7/17/2017 
ActiveForethought Life Insurance Company301407Agent - Life7/17/2017 
InactiveGolden Rule Insurance Company301943Agent - Health10/18/200512/13/2012
InactiveGolden Rule Insurance Company301943Agent - Life10/18/200512/13/2012
ActiveGuardian Life Insurance Company of America301316Agent - Health8/24/2011 
ActiveGuardian Life Insurance Company of America301316Agent - Life8/24/2011 
ActiveHartford Life and Accident Insurance Company300878Agent - Health5/22/2003 
ActiveHartford Life and Accident Insurance Company300878Agent - Life5/22/2003 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/20/202112/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/28/202112/12/2024
ActiveHumana Health Plan, Inc.300142Agent - Health6/11/2002 
InactiveHumana Insurance Company301104Agent - Health6/11/200212/12/2024
InactiveHumana Insurance Company301104Agent - Life6/11/200212/12/2024
ActiveHumana Insurance Company of Kentucky300826Agent - Health12/30/2020 
ActiveHumana Insurance Company of Kentucky300826Agent - Life12/30/2020 
InactiveHumana Medical Plan, Inc.801568Agent - Health4/20/202112/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/20/202112/12/2024
InactiveHumanaDental Insurance Company301457Agent - Health11/17/20092/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life11/17/20092/23/2012
InactiveInvestors Life Insurance Company of Indiana301657Agent - Health8/28/19953/18/2002
InactiveInvestors Life Insurance Company of Indiana301657Agent - Life8/28/19953/18/2002
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/24/20104/2/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life6/8/202210/8/2023
InactiveKanawha Insurance Company300127Agent - Health8/25/20161/22/2018
InactiveKanawha Insurance Company300127Agent - Life8/25/20161/22/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health9/26/201310/29/2015
InactiveLafayette Life Insurance Company (The)301039Agent - Health3/14/20038/3/2009
InactiveLafayette Life Insurance Company (The)301039Agent - Life3/14/20038/3/2009
ActiveLife Insurance Company of North America300711Agent - Life6/2/2015 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health7/24/2014 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life7/24/2014 
InactiveMML Bay State Life Insurance Company301198Agent - Health6/11/20025/8/2006
InactiveMML Bay State Life Insurance Company301198Agent - Life6/11/20025/8/2006
InactiveMadison National Life Insurance Company Inc.301458Agent - Health4/14/201012/17/2019
InactiveMadison National Life Insurance Company Inc.301458Agent - Life4/14/201012/17/2019
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health6/6/19951/8/2004
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life6/6/19951/8/2004
InactiveMedico Insurance Company301559Agent - Health12/11/201212/26/2014
InactiveMedico Insurance Company301559Agent - Life12/11/201212/26/2014
ActiveMetropolitan Life Insurance Company301948Agent - Health8/10/2020 
ActiveMetropolitan Life Insurance Company301948Agent - Life8/10/2020 
ActiveMutual of Omaha Insurance Company301012Agent - Health10/4/2012 
ActiveNational Health Insurance Company300554Agent - Health4/2/2024 
ActiveNational Health Insurance Company300554Agent - Life4/2/2024 
ActiveNational Western Life Insurance Company301515Agent - Life9/16/2019 
InactiveOmaha Insurance Company751908Agent - Health10/4/20128/8/2018
ActivePan-American Life Insurance Company301530Agent - Health4/26/2023 
ActivePan-American Life Insurance Company301530Agent - Life4/26/2023 
InactivePaul Revere Life Insurance Company300971Agent - Health2/2/19998/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life2/2/19998/24/2000
ActivePrincipal Life Insurance Company300129Agent - Health6/11/2002 
ActivePrincipal Life Insurance Company300129Agent - Life6/11/2002 
ActiveProvident Life and Accident Insurance Company301525Agent - Health7/1/2022 
ActiveProvident Life and Accident Insurance Company301525Agent - Life7/1/2022 
InactivePrudential Insurance Company of America300784Agent - Health12/20/201012/21/2022
InactivePrudential Insurance Company of America300784Agent - Life12/20/201012/21/2022
ActiveReliance Standard Life Insurance Company300584Agent - Life7/5/2017 
InactiveSILAC Insurance Company300535Agent - Health8/12/201612/8/2016
InactiveSILAC Insurance Company300535Agent - Life8/12/201612/8/2016
InactiveStandard Insurance Company300185Agent - Health4/19/202112/5/2022
InactiveStandard Insurance Company300185Agent - Life4/19/202112/5/2022
ActiveStandard Life and Accident Insurance Company301534Agent - Health12/13/2017 
ActiveStarmount Life Insurance Company628031Agent - Health7/1/2022 
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty8/15/20005/30/2003
InactiveState Automobile Mutual Insurance Company301824Agent - General Lines6/19/19968/15/2000
InactiveState Automobile Mutual Insurance Company301824Agent - Property8/15/20005/30/2003
ActiveSun Life Assurance Company of Canada301811Agent - Health10/15/2012 
ActiveSun Life Assurance Company of Canada301811Agent - Life10/15/2012 
InactiveTime Insurance Company300683Agent - Health6/11/20021/31/2005
InactiveTime Insurance Company300683Agent - Life6/11/20021/31/2005
ActiveTransamerica Life Insurance Company300571Agent - Health9/3/2016 
ActiveTransamerica Life Insurance Company300571Agent - Life9/3/2016 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty7/19/2023 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property7/19/2023 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty7/19/2023 
ActiveTravelers Property Casualty Company of America301649Agent - Property7/19/2023 
ActiveUNUM Life Insurance Company of America300817Agent - Health7/1/2022 
ActiveUNUM Life Insurance Company of America300817Agent - Life7/1/2022 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health7/2/2010 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life7/2/2010 
InactiveUnitedHealthcare Insurance Company300946Agent - Health1/17/20212/17/2025
ActiveUnitedHealthcare Insurance Company300946Agent - Life9/14/2022 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/13/201612/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health1/17/202112/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health9/2/20036/11/2007
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life9/2/20036/11/2007
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/18/2025 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/18/2025 
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health1/17/20212/17/2025
ActiveUnum Insurance Company301499Agent - Health7/1/2022 
ActiveUnum Insurance Company301499Agent - Life7/1/2022 
ActiveVision Service Plan Insurance Company300526Agent - Health10/5/2022 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health10/11/202012/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life1/19/19992/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Health1/19/19992/28/2003
ActiveDental Choice Agency Inc.398085Agent - Health8/25/2005 
ActiveDesignated Agent Company Inc.681257Agent - Life12/11/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/11/2013 
ActiveHollandstivers Employer Solutions LLC1073922Agent - Life2/11/2020 
ActiveHollandstivers Employer Solutions LLC1073922Agent - Health2/11/2020 
ActiveHollandstivers Employer Solutions LLC1073922Agent - Property12/1/2020 
ActiveHollandstivers Employer Solutions LLC1073922Agent - Casualty12/1/2020 
ActiveHollandstivers Employer Solutions LLC1073922Life & Health Consultant - Not Applicable4/5/2022 
DeniedHollandstivers Employer Solutions LLC1073922Agent - Personal Lines  
InactiveHollandstivers Employer Solutions LLC1073922Surplus Lines Broker - Not Applicable2/23/20213/31/2024
InactiveSamsil & Holland, LLC510802Agent - Life6/11/200211/29/2022
InactiveSamsil & Holland, LLC510802Agent - Health6/11/200211/29/2022
InactiveSamsil & Holland, LLC510802Life & Health Consultant - Not Applicable11/23/20104/5/2022
InactiveStivers Financial Group Inc.399253Agent - Life6/9/19955/31/2004
InactiveStivers Financial Group Inc.399253Agent - Health6/9/19955/31/2004

© Commonwealth of Kentucky. All rights reserved.