DEPARTMENT OF INSURANCE
Affiliations
NameCapitol Marketing Ins IncDOIID400068NAIC NPN2110455
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife6/10/1996 3/31/2026
ActiveResidentAgentHealth6/10/1996 3/31/2026
InactiveResidentAgentProperty7/10/201212/1/2023 
InactiveResidentAgentCasualty7/10/201212/11/2023 
* 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
ActiveACE Property and Casualty Insurance Company300520Agent - Health3/27/2024 
InactiveAF&L Insurance Company301582Agent - Health1/9/200411/1/2006
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health1/4/2016 
ActiveAetna Health and Life Insurance Company300523Agent - Health10/26/2016 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health1/4/2016 
ActiveAetna Life Insurance Company301140Agent - Life1/4/2016 
InactiveAmerican Continental Insurance Company643130Agent - Health4/24/200711/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life4/24/200711/12/2014
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health10/9/201211/20/2013
InactiveAmerican Retirement Life Insurance Company706303Agent - Health11/20/201312/23/2022
InactiveAmerican Retirement Life Insurance Company706303Agent - Life11/20/201312/23/2022
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/31/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/31/2016 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/12/2012 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/14/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health7/12/20124/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life7/12/20124/15/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health10/14/202012/12/2024
InactiveAthene Annuity and Life Company301893Agent - Life5/18/20107/10/2014
ActiveBankers Fidelity Assurance Company554627Agent - Health5/10/2017 
ActiveBankers Fidelity Assurance Company554627Agent - Life5/10/2017 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health5/10/2017 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life5/10/2017 
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty11/27/202111/27/2021
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/2/201612/27/2022
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health5/3/2024 
InactiveCompBenefits Dental, Inc.591692Agent - Health10/22/20083/14/2019
InactiveCompBenefits Insurance Company301864Agent - Health10/22/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life10/22/20087/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConseco Health Insurance Company301725Agent - Health6/10/199610/1/2010
InactiveConseco Health Insurance Company301725Agent - Life6/10/199610/1/2010
InactiveConseco Insurance Company301202Agent - Health8/10/200410/1/2010
InactiveConseco Insurance Company301202Agent - Life7/15/200410/1/2010
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveCoventry Health and Life Insurance Company301771Agent - Health1/14/2008 
InactiveDental Concern Inc. (The)301641Agent - Health8/15/200712/19/2019
InactiveEncova Life Insurance Company301818Agent - Life2/20/20111/1/2024
InactiveFamily Life Insurance Company300356Agent - Health9/11/20098/18/2016
InactiveFamily Life Insurance Company300356Agent - Life9/11/20098/18/2016
ActiveFidelity Security Life Insurance Company300466Agent - Health9/28/2010 
ActiveFidelity Security Life Insurance Company300466Agent - Life9/28/2010 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health11/7/2008 
InactiveForethought Life Insurance Company301407Agent - Health8/9/20111/2/2015
InactiveForethought Life Insurance Company301407Agent - Life8/9/20111/2/2015
InactiveGenworth Life Insurance Company300623Agent - Health5/17/200612/3/2019
InactiveGenworth Life Insurance Company300623Agent - Life5/17/200612/3/2019
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health11/21/200812/22/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/21/200812/22/2016
InactiveGerber Life Insurance Company300529Agent - Health1/5/202112/27/2022
InactiveGerber Life Insurance Company300529Agent - Life1/5/202112/27/2022
ActiveGolden Rule Insurance Company301943Agent - Health1/10/2006 
ActiveGolden Rule Insurance Company301943Agent - Life1/10/2006 
ActiveHealthSpring National Health Insurance Company300235Agent - Health4/27/2022 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/7/202212/12/2024
InactiveHumana Health Plan, Inc.300142Agent - Health11/5/200412/19/2019
InactiveHumana Insurance Company301104Agent - Health11/5/200412/12/2024
InactiveHumana Insurance Company301104Agent - Life11/5/200412/12/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/5/200412/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/5/200412/19/2019
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/8/202112/12/2024
InactiveHumanaDental Insurance Company301457Agent - Health5/24/20075/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life5/24/20075/13/2013
InactiveIndependent Order of Foresters300743Agent - Health8/27/202012/23/2022
InactiveIndependent Order of Foresters300743Agent - Life9/13/201312/23/2022
InactiveJohn Hancock Life Insurance Company300821Agent - Health4/30/200712/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life4/30/200712/30/2009
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/2008 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/2008 
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health10/29/20022/23/2009
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life10/29/20023/29/2005
InactiveKanawha Insurance Company300127Agent - Health10/22/200810/22/2015
InactiveKanawha Insurance Company300127Agent - Life10/22/200810/22/2015
InactiveKentucky Health Cooperative, Inc.798780Agent - Health1/20/201510/29/2015
ActiveLiberty Bankers Life Insurance Company542461Agent - Health6/19/2023 
ActiveLiberty Bankers Life Insurance Company542461Agent - Life6/19/2023 
ActiveLoyal American Life Insurance Company301172Agent - Health8/6/2014 
ActiveLoyal American Life Insurance Company301172Agent - Life7/21/2015 
InactiveManhattan Life Insurance Company300880Agent - Health9/17/20151/24/2019
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health1/26/2021 
InactiveMarquette National Life Insurance Company300117Agent - Health8/11/20063/18/2011
InactiveMarquette National Life Insurance Company300117Agent - Life8/11/20063/18/2011
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health7/30/20041/27/2011
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life7/30/20041/27/2011
InactiveMedico Corp Life Insurance Company301777Agent - Health8/3/20154/19/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life8/3/20154/19/2018
InactiveMedico Insurance Company301559Agent - Health8/3/201512/26/2018
InactiveMedico Insurance Company301559Agent - Life8/3/201512/26/2018
InactiveMutual of Omaha Insurance Company301012Agent - Health1/13/202112/22/2021
InactiveNew Era Life Insurance Company of the Midwest300700Agent - Health5/27/201110/15/2013
InactiveNew Era Life Insurance Company of the Midwest300700Agent - Life5/27/201110/15/2013
InactiveNorthStone Insurance Company818905Agent - Casualty11/27/202111/27/2021
InactiveOmaha Insurance Company751908Agent - Health4/27/20126/24/2013
InactivePacifiCare Life and Health Insurance Company301304Agent - Health10/7/200811/5/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life10/7/20087/17/2012
InactivePan-American Life Insurance Company301530Agent - Life1/1/20243/12/2024
InactivePekin Life Insurance Company300951Agent - Health4/4/20194/1/2025
InactivePekin Life Insurance Company300951Agent - Life4/4/20194/1/2025
InactivePhiladelphia American Life Insurance Company300178Agent - Health9/6/201110/15/2013
InactivePhiladelphia American Life Insurance Company300178Agent - Life9/6/201110/15/2013
InactivePinnaclePoint Insurance Company819085Agent - Casualty11/27/202111/27/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Health6/15/200612/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life6/15/200612/30/2009
ActivePrudential Insurance Company of America300784Agent - Health4/3/2006 
ActivePrudential Insurance Company of America300784Agent - Life4/3/2006 
InactiveSecurity Life Insurance Company of America300936Agent - Health2/22/201612/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life2/22/201612/31/2016
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health4/20/19997/18/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life4/20/19997/18/2003
ActiveSilverScript Insurance Company663526Agent - Health10/31/2019 
ActiveStandard Insurance Company300185Agent - Health12/17/2024 
ActiveStandard Insurance Company300185Agent - Life12/17/2024 
ActiveStandard Life and Accident Insurance Company301534Agent - Health5/10/2002 
ActiveStandard Life and Accident Insurance Company301534Agent - Life5/10/2002 
InactiveSummitPoint Insurance Company819084Agent - Casualty11/27/202111/27/2021
ActiveTier One Insurance Company301056Agent - Health10/22/2024 
ActiveTier One Insurance Company301056Agent - Life10/22/2024 
InactiveUNUM Life Insurance Company of America300817Agent - Health6/15/200612/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life6/15/200612/30/2009
InactiveUnited Teacher Associates Insurance Company300747Agent - Health2/14/201411/25/2014
InactiveUnited Teacher Associates Insurance Company300747Agent - Life12/15/200212/31/2012
InactiveUnited World Life Insurance Company300532Agent - Health3/18/200512/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/18/200512/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/18/200512/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/3/2024 
ActiveUnitedHealthcare Insurance Company300946Agent - Life10/7/2008 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/3/2024 
ActiveWashington National Insurance Company300587Agent - Health10/1/2010 
ActiveWashington National Insurance Company300587Agent - Life10/1/2010 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health5/13/2023 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health5/13/2023 
InactiveWilco Life Insurance Company300122Agent - Life4/28/199910/2/2006
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCollins, Paul Wesley 380604Agent - Health10/31/200512/1/2023
InactiveCollins, Paul Wesley 380604Agent - Life10/31/200512/1/2023
InactiveCook, Timothy A 310498Agent - Health7/5/200512/16/2010
InactiveCook, Timothy A 310498Agent - Life7/5/20053/4/2011
InactiveHembree, Marcellus 344087Agent - Health8/15/201212/1/2023
InactiveHembree, Marcellus 344087Agent - Life8/15/201212/1/2023
ActiveLightner, Brian Keith 596820Agent - Health8/15/2012 
ActiveLightner, Brian Keith 596820Agent - Life8/15/2012 
InactiveLightner, Robert Joseph 377505Agent - Health6/10/199611/30/2020
InactiveLightner, Robert Joseph 377505Agent - Life6/10/199611/30/2020
InactiveLightner, Thomas Ray 586827Agent - Casualty7/9/20121/1/2015
InactiveLightner, Thomas Ray 586827Agent - Property7/9/20121/1/2015
InactiveLovell, Brenda Kay 323353Agent - Casualty3/11/201512/11/2023
InactiveLovell, Brenda Kay 323353Agent - Health3/11/201512/1/2023
InactiveLovell, Brenda Kay 323353Agent - Life3/11/201512/1/2023
InactiveLovell, Brenda Kay 323353Agent - Property3/11/201512/1/2023
InactiveMutsch, Douglas John 375088Agent - Health6/28/20059/1/2023
InactiveMutsch, Douglas John 375088Agent - Life6/28/20054/20/2017
ActiveNolen, Brian Wayne 374442Agent - Health8/15/2012 
ActiveNolen, Brian Wayne 374442Agent - Life8/15/2012 
InactiveSmith, Bracken Eric 386168Agent - Health8/15/201211/1/2017
InactiveSmith, Bracken Eric 386168Agent - Life8/15/201211/1/2017
InactiveWilder, Ernest Walter 390118Agent - Health7/5/20053/1/2014
InactiveWilder, Ernest Walter 390118Agent - Life7/5/20053/1/2014

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