DEPARTMENT OF INSURANCE

Affiliations

Name	Life Assoc Inc	DOIID	398569	NAIC NPN	2110470

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	7/19/1989		3/31/2027
Active	Resident	Agent	Variable Life and Variable Annuities	5/13/2002		3/31/2027
Active	Resident	Agent	Casualty	8/31/2017		3/31/2027
Active	Resident	Agent	Property	8/31/2017		3/31/2027
Active	Resident	Agent	Health	7/19/1989		3/31/2027
Inactive	Resident	Agent	Health Maintenance Organization	10/19/1990	3/1/2001
Withdrawn	Resident	Agent	Travel
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/30/2025	01/30/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	4/28/2024
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	11/15/2017	11/2/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	11/15/2017	11/2/2022
Inactive	Aetna Health Inc.	300694	Agent - Health	7/26/2001	12/31/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/27/2018
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/4/2016
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/27/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	8/27/2018
Active	All Savers Insurance Company	301940	Agent - Health	9/8/2020
Active	All Savers Insurance Company	301940	Agent - Life	9/8/2020
Active	American Bankers Insurance Company of Florida	300360	Agent - Casualty	8/17/2018
Active	American Bankers Insurance Company of Florida	300360	Agent - Property	8/17/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	6/10/2024
Active	American Economy Insurance Company	300315	Agent - Property	6/10/2024
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/5/2022
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/5/2022
Inactive	American Fidelity Assurance Company	301004	Agent - Health	5/8/1996	11/10/2009
Inactive	American Fidelity Assurance Company	301004	Agent - Life	5/8/1996	11/10/2009
Inactive	American General Life Insurance Company	301585	Agent - Health	12/31/2012	1/18/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	12/31/2012	1/18/2018
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	7/20/2007	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	7/20/2007	12/31/2012
Active	American Heritage Life Insurance Company	300272	Agent - Health	4/10/2017
Active	American Heritage Life Insurance Company	300272	Agent - Life	4/10/2017
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/2/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/2/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/18/2018	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/18/2018	11/14/2021
Inactive	American Republic Insurance Company	300861	Agent - Health	6/24/1996	10/20/2006
Inactive	American Republic Insurance Company	300861	Agent - Life	6/24/1996	10/20/2006
Active	American Resources Insurance Company, Inc.	300454	Agent - Casualty	1/1/2018
Active	American Resources Insurance Company, Inc.	300454	Agent - Property	1/1/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	1/5/2017	12/22/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	7/19/2013	12/28/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	3/23/2018	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	3/23/2018	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	3/21/2023
Active	American Strategic Insurance Corp	883540	Agent - Property	3/21/2023
Active	American United Life Insurance Company	300498	Agent - Health	12/19/2023
Active	American United Life Insurance Company	300498	Agent - Life	12/19/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	3/28/2008	1/12/2015
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/28/2008	1/12/2015
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	11/19/2001	1/12/2017
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	11/19/2001	1/12/2017
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	10/19/1990	3/1/2001
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/17/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/20/1999	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/20/1999	4/15/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	9/12/2023
Active	Aspida Life Insurance Company	301934	Agent - Life	10/13/2023
Inactive	Assurity Life Insurance Company	301099	Agent - Health	4/13/2005	8/7/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	4/13/2005	8/7/2006
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	10/3/2017
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	10/3/2017
Inactive	BCS Insurance Company	300294	Agent - Health	2/26/2001	4/5/2002
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	3/31/2019
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	2/19/1999	3/1/2001
Active	Benchmark Insurance Company	300374	Agent - Casualty	1/1/2018
Active	Benchmark Insurance Company	300374	Agent - Property	1/1/2018
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/28/2015	9/24/2018
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/28/2015	9/24/2018
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	8/17/1989	12/17/1998
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	8/17/1989	12/17/1998
Inactive	CHA HMO, Inc.	300662	Agent - Health	8/3/2023	12/12/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/27/2017	12/27/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	2/27/2017	12/27/2022
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	11/6/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	11/6/1995	3/31/1997
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	8/19/1992
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/19/1992	7/2/2020
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/13/1993
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/13/1993
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/17/2015	12/13/2016
Active	CompBenefits Insurance Company	301864	Agent - Health	1/17/2020
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/5/2009	7/2/2013
Active	Companion Life Insurance Company	300191	Agent - Health	4/1/2024
Active	Companion Life Insurance Company	300191	Agent - Life	4/1/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	5/5/2009	6/11/2014
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	12/23/1996	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/23/1996	12/31/1998
Inactive	Continental Casualty Company	301019	Agent - Health	2/3/1999	11/29/2004
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/27/2023
Active	Dairyland Insurance Company	301370	Agent - Property	6/27/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/24/2023	12/12/2024
Inactive	EMC National Life Company	300388	Agent - Health	10/1/2018	3/20/2024
Inactive	EMC National Life Company	300388	Agent - Life	10/1/2018	3/20/2024
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	7/28/1994	11/10/2003
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	7/28/1994	11/10/2003
Active	Encompass Indemnity Company	546376	Agent - Casualty	8/23/2018
Active	Encompass Indemnity Company	546376	Agent - Property	8/23/2018
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Health	5/5/2023
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	5/5/2023
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	5/5/2023
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	7/19/1989	7/10/2007
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/19/1989	3/24/2006
Active	First Health Life & Health Insurance Company	301735	Agent - Health	11/6/2018
Inactive	Gleaner Life Insurance Society	689297	Agent - Life	6/2/2015	2/7/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/18/1992	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/18/1992	12/13/2012
Inactive	Grange Life Insurance Company	300128	Agent - Health	12/8/2017	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/8/2017	3/31/2021
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	4/28/2015	10/5/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Health	4/28/2015
Active	Guardian Life Insurance Company of America	301316	Agent - Life	4/28/2015
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	10/31/2023
Active	Hartford Fire Insurance Company	300628	Agent - Property	10/31/2023
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/9/2016
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/9/2016
Active	Health Resources Inc.	301210	Agent - Health	10/1/2007
Inactive	HealthSpring National Health Insurance Company	300235	Agent - Health	1/10/2024	12/26/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/12/2019	12/12/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/17/2021	12/13/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	2/4/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	12/30/1998	3/1/2001
Active	Humana Insurance Company	301104	Agent - Health	12/30/1998
Active	Humana Insurance Company	301104	Agent - Life	12/30/1998
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/15/2022	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/15/2022	12/12/2024
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/17/2021	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/17/2021	12/13/2022
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/12/2008	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/12/2008	5/13/2013
Active	Illinois Mutual Life Insurance Company	301479	Agent - Health	7/22/2002
Active	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/22/2002
Inactive	Independence American Insurance Company	524747	Agent - Health	9/14/2018	12/30/2022
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	12/28/1989	2/26/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	12/28/1989	2/26/2016
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	1/24/1995	3/27/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	1/24/1995	3/27/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/27/2003	11/14/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/27/2003	11/14/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/17/2001	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/17/2001	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/23/2010	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/23/2010	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/7/2013	10/29/2015
Inactive	LifeSecure Insurance Company	301629	Agent - Health	3/22/2012	1/13/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/15/1989	5/20/1996
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/15/1989	5/20/1996
Active	Madison National Life Insurance Company Inc.	301458	Agent - Health	1/24/2019
Inactive	MedAmerica Insurance Company	301568	Agent - Health	5/30/2007	4/6/2016
Active	Medco Containment Life Insurance Company	301557	Agent - Health	2/26/2024
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	10/27/2014	3/14/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	10/27/2014	3/14/2018
Active	Medico Insurance Company	301559	Agent - Health	1/3/2025
Active	Medico Insurance Company	301559	Agent - Life	1/3/2025
Inactive	Medico Life and Health Insurance Company	907406	Agent - Health	5/5/2021	12/21/2022
Inactive	Medico Life and Health Insurance Company	907406	Agent - Life	5/5/2021	12/21/2022
Active	Meridian Security Insurance Company	300423	Agent - Casualty	9/11/2017
Active	Meridian Security Insurance Company	300423	Agent - Property	9/11/2017
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/9/2018
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/9/2018
Inactive	Midland National Life Insurance Company	300923	Agent - Health	12/7/2004	3/7/2007
Inactive	Midland National Life Insurance Company	300923	Agent - Life	12/7/2004	3/7/2007
Inactive	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	12/7/2004	3/7/2007
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/17/2006	12/17/2010
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	3/4/1998	8/1/1999
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	3/4/1998	8/1/1999
Inactive	Nassau Life Insurance Company	301406	Agent - Health	2/19/1992	2/13/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	2/19/1992	2/13/2004
Inactive	National Casualty Company	301483	Agent - Health	5/20/2008	3/30/2018
Active	National Guardian Life Insurance Company	300596	Agent - Health	2/3/2016
Active	National Guardian Life Insurance Company	300596	Agent - Life	2/3/2016
Active	National Health Insurance Company	300554	Agent - Health	4/5/2023
Active	National Health Insurance Company	300554	Agent - Life	4/5/2023
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	6/5/2018	10/29/2019
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	6/5/2018	10/29/2019
Active	Nationwide Life Insurance Company	300495	Agent - Health	8/5/2013
Active	Nationwide Life Insurance Company	300495	Agent - Life	8/5/2013
Inactive	New York Life Insurance Company	300431	Agent - Health	2/6/1997	8/1/1999
Inactive	New York Life Insurance Company	300431	Agent - Life	2/6/1997	8/1/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	2/6/1997	8/1/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	2/6/1997	8/1/1999
Active	Nippon Life Insurance Company of America	300446	Agent - Health	10/21/2020
Active	Nippon Life Insurance Company of America	300446	Agent - Life	10/21/2020
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/17/2017
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/17/2017
Active	Ohio Security Insurance Company	300622	Agent - Casualty	5/4/2024
Active	Ohio Security Insurance Company	300622	Agent - Property	5/4/2024
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	4/22/1997	3/31/2003
Inactive	Omaha Health Insurance Company	301296	Agent - Health	1/3/2024	12/27/2024
Inactive	Optum Insurance of Ohio, Inc	301226	Agent - Health	2/22/1995	3/31/1997
Inactive	Optum Insurance of Ohio, Inc	301226	Agent - Life	2/22/1995	3/31/1997
Inactive	PHL Variable Insurance Company	300525	Agent - Health	12/8/1997	2/13/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Life	12/8/1997	2/13/2004
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/6/2009	3/28/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	5/6/2009	7/17/2012
Active	Palomar Specialty Insurance Company	841441	Agent - Casualty	9/18/2024
Active	Palomar Specialty Insurance Company	841441	Agent - Property	9/18/2024
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/23/1997	5/27/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/23/1997	5/27/2005
Active	Principal Life Insurance Company	300129	Agent - Health	12/11/1990
Active	Principal Life Insurance Company	300129	Agent - Life	12/11/1990
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/29/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Property	1/29/2018
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/13/1997	3/3/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/13/1997	3/3/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/22/2018	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/22/2018	10/8/2021
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	5/21/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	5/5/1999	3/1/2001
Active	Prudential Insurance Company of America	300784	Agent - Health	4/30/1999
Active	Prudential Insurance Company of America	300784	Agent - Life	4/30/1999
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	5/29/1997	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	5/29/1997	9/16/2004
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	4/30/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	4/30/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/1/2017	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/1/2017	3/29/2024
Inactive	Security Life and Trust Insurance Company	301698	Agent - Health	8/9/1989	2/15/2000
Inactive	Security Life and Trust Insurance Company	301698	Agent - Life	8/9/1989	2/15/2000
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	12/28/1989	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	12/28/1989	3/31/2009
Active	SilverScript Insurance Company	663526	Agent - Health	8/30/2019
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	2/29/2000	5/2/2003
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	2/29/2000	5/2/2003
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/3/2017
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	10/3/2017
Active	Standard Insurance Company	300185	Agent - Health	1/24/2025
Active	Standard Insurance Company	300185	Agent - Life	1/24/2025
Active	Standard Insurance Company	300185	Agent - Variable Life and Variable Annuities	1/24/2025
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	9/11/2017
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	9/11/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	9/11/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	9/11/2017
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	1/22/2018
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	1/22/2018
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	8/13/1992	2/13/2009
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	8/13/1992	2/13/2009
Active	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/4/2004
Active	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	8/4/2004
Active	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	8/4/2004
Active	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	8/4/2004
Active	The Phoenix Insurance Company	301502	Agent - Casualty	10/3/2017
Active	The Phoenix Insurance Company	301502	Agent - Property	10/3/2017
Active	Tier One Insurance Company	301056	Agent - Health	3/7/2025
Active	Tier One Insurance Company	301056	Agent - Life	3/7/2025
Inactive	Time Insurance Company	300683	Agent - Health	10/10/2014	11/15/2019
Inactive	Time Insurance Company	300683	Agent - Life	10/10/2014	11/15/2019
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	4/17/2003	9/24/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/17/2003	9/24/2008
Active	TravCo Insurance Company	301828	Agent - Casualty	1/31/2025
Active	TravCo Insurance Company	301828	Agent - Property	1/31/2025
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	10/3/2017
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	10/3/2017
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	3/5/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	3/5/2019
Active	Trexis Insurance Corporation	599902	Agent - Casualty	9/11/2017
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	9/21/2017
Inactive	Trustmark Insurance Company	300317	Agent - Health	8/1/2004	8/15/2005
Inactive	Trustmark Insurance Company	300317	Agent - Life	8/1/2004	8/15/2005
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	5/16/2005	12/5/2007
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	5/16/2005	12/5/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/22/2018	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/22/2018	10/8/2021
Inactive	Union Security Insurance Company	301844	Agent - Health	12/2/2002	12/29/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	12/2/2002	12/29/2020
Inactive	Union Security Insurance Company	301844	Agent - Variable Life and Variable Annuities	5/13/2002	10/28/2015
Inactive	United American Insurance Company	300910	Agent - Health	3/30/1993	1/19/2011
Inactive	United American Insurance Company	300910	Agent - Life	3/30/1993	1/19/2011
Active	United Financial Casualty Company	301886	Agent - Casualty	1/29/2018
Active	United Financial Casualty Company	301886	Agent - Property	1/29/2018
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	12/9/2003	8/5/2009
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	12/9/2003	8/5/2009
Inactive	United World Life Insurance Company	300532	Agent - Health	3/17/2006	12/17/2010
Active	United of Omaha Life Insurance Company	300156	Agent - Health	2/28/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Life	2/28/2023
Active	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	3/7/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/27/2017
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	11/27/2017
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/12/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/12/1995	3/31/1997
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/1/2001
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	12/10/1998	3/1/2001
Active	Vision Service Plan Insurance Company	300526	Agent - Health	5/25/2010
Inactive	Washington National Insurance Company	300587	Agent - Health	3/17/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	3/17/1995	3/31/1997
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/12/2019	12/29/2021
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	5/29/1997	11/13/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/29/1997	11/13/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	7/9/1996	6/28/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	7/9/1996	6/28/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Jim N	374682	Agent - Health	2/11/1997	2/24/2003
Inactive	Anderson, Jim N	374682	Agent - Life	2/11/1997	2/24/2003
Inactive	Andrews, John Patrick	378136	Agent - Health	8/30/1993	2/24/2003
Inactive	Andrews, John Patrick	378136	Agent - Life	8/30/1993	2/24/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/24/1999	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/24/1999	12/31/2001
Active	Blankenship, Deborah	522825	Agent - Casualty	4/20/2018
Active	Blankenship, Deborah	522825	Agent - Health	5/13/2002
Active	Blankenship, Deborah	522825	Agent - Life	5/13/2002
Active	Blankenship, Deborah	522825	Agent - Property	4/20/2018
Active	Blankenship, Deborah	522825	Agent - Variable Life and Variable Annuities	5/13/2002
Inactive	Bremmerkamp, Christine Marie	1025439	Agent - Health	3/21/2019	3/31/2021
Active	Bremmerkamp, Christine Marie	1025439	Agent - Life	3/21/2019
Inactive	Bunch, Katherine	882416	Agent - Health	8/18/2015	9/1/2019
Inactive	Bunch, Katherine	882416	Agent - Life	8/18/2015	9/1/2019
Inactive	Burnett, Meredith Dyan	773039	Agent - Health	11/25/2014	6/1/2016
Inactive	Burnett, Meredith Dyan	773039	Agent - Life	11/25/2014	6/1/2016
Inactive	Cates, Kelli Sue	882407	Agent - Health	8/11/2015	8/1/2024
Inactive	Cates, Kelli Sue	882407	Agent - Life	8/11/2015	8/1/2024
Inactive	Cathey, Carrie	959533	Agent - Health	6/3/2019	2/12/2020
Inactive	Cathey, Carrie	959533	Agent - Life	6/3/2019	2/12/2020
Inactive	Cook, Tammy Kay	338794	Agent - Health	8/3/1989	1/16/2002
Inactive	Cook, Tammy Kay	338794	Agent - Life	8/3/1989	1/16/2002
Inactive	Cosby, Kelly C	773083	Agent - Health	2/5/2013	6/1/2015
Inactive	Cosby, Kelly C	773083	Agent - Life	2/5/2013	6/1/2015
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	12/31/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	8/9/1999	3/1/2001
Inactive	Galyen, Douglas Earl	324663	Agent - Health	8/3/1989	12/1/2000
Inactive	Galyen, Douglas Earl	324663	Agent - Life	8/3/1989	12/1/2000
Inactive	Garrett, Sheila H	505239	Agent - Health	10/21/2013	1/1/2023
Inactive	Garrett, Sheila H	505239	Agent - Life	6/3/2019	7/2/2020
Active	Gaudy, Kristen Brook	934988	Agent - Casualty	8/31/2017
Active	Gaudy, Kristen Brook	934988	Agent - Health	11/1/2024
Active	Gaudy, Kristen Brook	934988	Agent - Life	11/1/2024
Active	Gaudy, Kristen Brook	934988	Agent - Property	8/31/2017
Active	Hannah, April A	505390	Agent - Health	2/24/2003
Inactive	Hannah, April A	505390	Agent - Life	2/24/2003	8/7/2024
Active	Kingston, Brooke	1135665	Agent - Health	8/19/2021
Active	Kingston, Brooke	1135665	Agent - Life	8/19/2021
Inactive	Roberts, John Darryl	363483	Agent - Health	7/19/1989	12/6/2007
Inactive	Roberts, John Darryl	363483	Agent - Life	7/19/1989	12/6/2007
Inactive	Roberts, John Darryl	363483	Agent - Variable Life and Variable Annuities	5/13/2002	1/29/2007
Inactive	Roberts, Sue Williams	371657	Agent - Health	2/24/2003	7/1/2004
Inactive	Roberts, Sue Williams	371657	Agent - Life	2/24/2003	7/1/2004
Inactive	West Kentucky Group Benefits	401049	Agent - Health	10/17/1991	12/31/2001
Inactive	West Kentucky Group Benefits	401049	Agent - Life	10/17/1991	12/31/2001
Inactive	Wheeler, Thomas D	322529	Agent - Health	8/3/1989	2/24/2003
Inactive	Wheeler, Thomas D	322529	Agent - Life	8/3/1989	2/24/2003