DEPARTMENT OF INSURANCE
Affiliations
NameStatewide Insurance Services, Inc.
DBA : Kahcf Ins Agy
DOIID399559NAIC NPN3198150
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty6/7/2022 3/31/2026
ActiveResidentAgentLife6/9/2022 3/31/2026
ActiveResidentAgentHealth6/9/2022 3/31/2026
DeniedResidentAgentProperty   
InactiveResidentAgentPrepaid Dental Plan4/27/19983/1/2001 
InactiveResidentAgentHealth Maintenance Organization4/24/19953/1/2001 
InactiveResidentAgentGeneral Lines7/1/19928/15/2000 
* 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
InactiveAetna Health Inc.300694Agent - Health3/19/200212/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/21/2010
InactiveAetna Life Insurance Company301140Agent - Health3/19/20029/21/2010
InactiveAetna Life Insurance Company301140Agent - Life3/19/20029/21/2010
InactiveAllianz Life Insurance Company of North America301791Agent - Health8/2/200211/22/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/2/200211/22/2007
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/19/20014/15/2011
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/19/20014/15/2011
InactiveAmerican Fidelity Assurance Company301004Agent - Health4/23/20017/21/2004
InactiveAmerican Fidelity Assurance Company301004Agent - Life4/23/20017/21/2004
InactiveAmerican Heritage Life Insurance Company300272Agent - Health7/7/19948/2/2006
InactiveAmerican Heritage Life Insurance Company300272Agent - Life7/7/19948/2/2006
InactiveAmerican United Life Insurance Company300498Agent - Health4/29/199712/29/1998
InactiveAmerican United Life Insurance Company300498Agent - Life4/29/199712/29/1998
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/21/20015/15/2017
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/21/200110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health6/15/19945/15/2017
InactiveAnthem Life Insurance Company301209Agent - Life6/15/19945/15/2017
InactiveAthene Annuity & Life Assurance Company301798Agent - Health1/25/199610/5/1998
InactiveAthene Annuity & Life Assurance Company301798Agent - Life1/25/199610/5/1998
InactiveBanner Life Insurance Company301696Agent - Life9/20/20013/31/2022
InactiveBaptist Health Plan, Inc.300157Agent - Health3/1/20013/31/2019
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization2/11/20003/1/2001
InactiveBoston Mutual Life Insurance Company300143Agent - Health1/8/19973/13/2009
InactiveBoston Mutual Life Insurance Company300143Agent - Life1/8/19973/13/2009
InactiveCHA HMO, Inc.300662Agent - Health2/1/200212/10/2012
InactiveCitizens Security Life Insurance Company301257Agent - Health2/2/20103/31/2022
InactiveCitizens Security Life Insurance Company301257Agent - Life6/6/199612/16/2004
InactiveClearPath Insurance Company979815Agent - Casualty9/1/202212/30/2024
InactiveColonial Life and Accident Insurance Company300846Agent - Health3/7/199610/27/2006
InactiveColonial Life and Accident Insurance Company300846Agent - Life3/7/199610/27/2006
InactiveCompBenefits Dental, Inc.591692Agent - Health1/10/200512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health10/31/20037/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life10/31/20037/2/2013
InactiveCompDent Corporation301387Agent - Health3/1/200112/23/2004
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan4/27/19983/1/2001
InactiveContinental Casualty Company301019Agent - Health9/24/199711/29/2004
InactiveDearborn Life Insurance Company300401Agent - Health6/1/200612/19/2011
InactiveDearborn Life Insurance Company300401Agent - Life6/1/200612/19/2011
InactiveDental Concern Inc. (The)301641Agent - Health12/22/201612/19/2019
InactiveFireman's Fund Insurance Company301423Agent - Casualty5/15/20019/8/2004
InactiveFireman's Fund Insurance Company301423Agent - Property5/15/20019/8/2004
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/17/20024/7/2006
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/17/20024/7/2006
InactiveGeneral American Life Insurance Company300280Agent - Health3/28/19954/21/1999
InactiveGeneral American Life Insurance Company300280Agent - Life3/28/19954/21/1999
InactiveGenworth Life Insurance Company300623Agent - Health7/3/199512/22/2003
InactiveGenworth Life Insurance Company300623Agent - Life7/3/199512/22/2003
InactiveGolden Rule Insurance Company301943Agent - Health2/16/19953/31/1997
InactiveGolden Rule Insurance Company301943Agent - Life2/16/19953/31/1997
InactiveHM Life Insurance Company301408Agent - Health5/16/199510/18/2007
InactiveHM Life Insurance Company301408Agent - Life5/16/199510/18/2007
ActiveHartford Life and Accident Insurance Company300878Agent - Health8/24/2022 
ActiveHartford Life and Accident Insurance Company300878Agent - Life8/24/2022 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health12/5/201312/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20013/31/2022
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization4/24/19953/1/2001
InactiveHumana Insurance Company300118Agent - Health4/24/199512/31/1998
InactiveHumana Insurance Company301104Agent - Health9/1/202212/13/2022
InactiveHumana Insurance Company300118Agent - Life4/24/199512/31/1998
InactiveHumana Insurance Company301104Agent - Life8/8/19963/31/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/14/20203/31/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/14/20203/31/2022
InactiveHumanaDental Insurance Company301457Agent - Health11/17/20092/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life11/17/20092/23/2012
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health11/1/20027/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life11/1/20027/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health8/1/20058/1/2011
InactiveJohn Alden Life Insurance Company300573Agent - Life8/1/20058/1/2011
InactiveKanawha Insurance Company300127Agent - Health10/29/201512/8/2017
InactiveKanawha Insurance Company300127Agent - Life9/9/201312/4/2013
InactiveLifeUSA Insurance Company300386Agent - Health12/13/19998/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life12/13/19998/2/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/29/200712/29/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/29/200712/29/2010
InactiveMetropolitan Life Insurance Company301948Agent - Health11/8/199911/18/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life11/8/199911/18/2008
InactiveMidland National Life Insurance Company300923Agent - Health4/9/20012/3/2003
InactiveMidland National Life Insurance Company300923Agent - Life4/9/20012/3/2003
InactiveMidwest Employers Casualty Company300124Agent - Casualty6/6/200611/1/2021
InactiveMidwest Employers Casualty Company300124Agent - General Lines2/3/19978/15/2000
DeniedMidwest Employers Casualty Company300124Agent - Property  
InactiveNational Guardian Life Insurance Company300596Agent - Health7/14/19943/31/1999
InactiveNational Guardian Life Insurance Company300596Agent - Life7/14/19943/31/1999
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines7/1/19923/31/1996
InactivePan-American Life Insurance Company301530Agent - Health1/22/200210/8/2007
InactivePan-American Life Insurance Company301530Agent - Life1/22/200210/8/2007
InactivePaul Revere Life Insurance Company300971Agent - Health12/4/199912/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life12/4/199912/11/2002
InactivePie Insurance Company (The)300514Agent - Casualty5/15/20019/8/2004
InactivePie Insurance Company (The)300514Agent - Property5/15/20019/8/2004
InactivePrincipal Life Insurance Company300129Agent - Health5/22/19973/31/2022
InactivePrincipal Life Insurance Company300129Agent - Life5/22/19973/31/2022
InactiveProvident Life and Accident Insurance Company301525Agent - Health4/8/200512/7/2006
InactiveProvident Life and Accident Insurance Company301525Agent - Life4/8/200512/7/2006
InactiveReassure America Life Insurance Company301902Agent - Health8/14/19981/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life8/14/19981/2/2003
InactiveReliance Insurance Company300785Agent - Casualty8/15/20006/5/2001
InactiveReliance Insurance Company300785Agent - General Lines4/18/19988/15/2000
InactiveReliance Insurance Company300785Agent - Property8/15/20006/5/2001
InactiveReliance National Indemnity Company301939Agent - General Lines4/18/19988/15/2000
InactiveReliance National Insurance Company301675Agent - General Lines4/18/19988/15/2000
InactiveReliance Standard Life Insurance Company300584Agent - Health5/22/19961/23/2015
InactiveReliance Standard Life Insurance Company300584Agent - Life5/22/19961/23/2015
InactiveTexas Life Insurance Company300345Agent - Life12/8/20007/15/2005
InactiveTime Insurance Company300683Agent - Health1/16/200110/20/2004
InactiveTime Insurance Company300683Agent - Life1/16/200110/20/2004
InactiveTransamerica Life Insurance Company300571Agent - Health1/31/200010/8/2001
InactiveTransamerica Life Insurance Company300571Agent - Life1/31/200010/8/2001
InactiveTransamerica Premier Life Insurance Company300558Agent - Health12/19/20008/29/2005
InactiveUNUM Life Insurance Company of America300817Agent - Health10/9/199711/29/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life10/9/199711/29/2005
InactiveUnion Security Insurance Company301844Agent - Health5/19/19953/1/2004
InactiveUnion Security Insurance Company301844Agent - Life5/19/19953/1/2004
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health3/1/200111/15/2017
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Prepaid Dental Plan11/13/19983/1/2001
InactiveUnited Concordia Dental Plans, Inc.919872Agent - Health11/15/20173/31/2022
InactiveUnited Concordia Insurance Company903543Agent - Health12/31/20173/31/2022
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health11/13/199812/31/2017
InactiveUnited Pacific Insurance Company300538Agent - General Lines4/18/19988/15/2000
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/31/199811/21/2005
InactiveUnitedHealthcare Insurance Company300946Agent - Life12/31/199811/21/2005
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health2/29/19962/21/2001
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life2/29/19962/21/2001
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/200111/21/2005
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization12/11/19983/1/2001
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health8/30/199912/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life8/30/199912/31/2001
InactiveAuslander, Louise Haynes 321510Agent - Health9/13/199711/22/2002
InactiveAuslander, Louise Haynes 321510Agent - Life9/13/199711/22/2002
ActiveBass, Karen Hope 591355Agent - Casualty6/7/2022 
DeniedBass, Karen Hope 591355Agent - Property  
InactiveBloodworth, John Richard 366736Agent - Health3/1/200111/22/2002
InactiveBloodworth, John Richard 366736Agent - Health Maintenance Organization12/11/19983/1/2001
InactiveDavis, Diane M 320444Agent - Health9/13/199711/4/1997
InactiveDavis, Diane M 320444Agent - Life9/13/199711/4/1997
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
InactiveHealthplan Services, Inc.401230Agent - Health8/31/199512/31/2001
InactiveHiggs, Kelli Jo 330815Agent - Health9/13/199710/23/1997
InactiveHiggs, Kelli Jo 330815Agent - Life9/13/199710/23/1997
InactiveJohnson, Lisa K 307983Agent - Casualty4/17/200312/29/2003
InactiveJohnson, Lisa K 307983Agent - Property4/17/200312/29/2003
InactiveJudy, Nancy S 325459Agent - Health8/26/19943/20/1998
InactiveJudy, Nancy S 325459Agent - Life8/26/19943/20/1998
InactiveLynch, Gene M 515211Agent - Health5/24/200211/22/2002
InactiveLynch, Gene M 515211Agent - Life5/24/200211/22/2002
InactiveMcCulloch, Mark L 372533Agent - Health1/18/200211/22/2002
InactiveMcCulloch, Mark L 372533Agent - Life1/18/200211/22/2002
ActiveNetherton, Sharon Elizabeth 589828Agent - Health6/9/2022 
ActiveNetherton, Sharon Elizabeth 589828Agent - Life6/9/2022 
InactiveOgden, Paul Justin 394461Agent - Health3/31/199610/23/1996
InactiveOgden, Paul Justin 394461Agent - Life3/31/199610/23/1996
InactivePritchett, Katherine Louise 340618Agent - Health1/31/199510/23/1996
InactivePritchett, Katherine Louise 340618Agent - Life1/31/199510/23/1996
InactiveReid, Howard M 366424Agent - Health1/22/19981/24/2000
InactiveReid, Howard M 366424Agent - Life1/22/19981/24/2000
InactiveRodgers, Debra 386354Agent - Health3/15/20019/12/2001
InactiveRodgers, Debra 386354Agent - Life3/15/20019/12/2001
InactiveRose, Kimberly M 388501Agent - Casualty8/15/200011/14/2001
InactiveRose, Kimberly M 388501Agent - Health3/15/200111/14/2001
InactiveRose, Kimberly M 388501Agent - Life3/15/200111/14/2001
InactiveRose, Kimberly M 388501Agent - Property8/15/200011/14/2001
InactiveSullivan, Stephen Douglas 517063Agent - Health1/25/20025/24/2002
InactiveSullivan, Stephen Douglas 517063Agent - Life1/18/20025/24/2002
InactiveThomas, Eartha B 351686Agent - Casualty10/23/200111/14/2001
InactiveThomas, Eartha B 351686Agent - Health10/23/200111/14/2001
InactiveThomas, Eartha B 351686Agent - Life10/23/200111/14/2001
InactiveThomas, Eartha B 351686Agent - Property10/23/200111/14/2001
InactiveWarner, Gerri L 316364Agent - Casualty8/15/20001/18/2005
InactiveWarner, Gerri L 316364Agent - Health3/19/20021/18/2005
InactiveWarner, Gerri L 316364Agent - Life3/19/20021/18/2005
InactiveWarner, Gerri L 316364Agent - Property8/15/20001/18/2005

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