PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameSparks, Virginia ODOIID502324NAIC NPN7211072
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife2/24/200011/1/2015 
InactiveResidentAgentHealth2/24/200011/1/2015 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health10/27/200911/1/2015
InactiveAetna Life Insurance Company301140Agent - Health10/27/200911/1/2015
InactiveAetna Life Insurance Company301140Agent - Life10/27/200911/1/2015
InactiveAllianz Life Insurance Company of North America301791Agent - Health3/23/200111/22/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/23/200111/22/2007
InactiveAmerican General Life Insurance Company301585Agent - Health1/10/200512/12/2008
InactiveAmerican General Life Insurance Company301585Agent - Life1/10/200512/12/2008
InactiveAnthem Life Insurance Company301209Agent - Health10/20/201311/1/2015
InactiveAnthem Life Insurance Company301209Agent - Life10/20/201311/1/2015
InactiveCompBenefits Dental, Inc.591692Agent - Health7/9/201012/5/2014
InactiveDental Concern Inc. (The)301641Agent - Health3/21/200912/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/20/200911/1/2015
InactiveHumana Insurance Company301104Agent - Health9/14/200711/1/2015
InactiveHumana Insurance Company301104Agent - Life9/14/200711/1/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/14/200712/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/14/200712/5/2014
InactiveHumanaDental Insurance Company301457Agent - Health3/21/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life3/21/201212/19/2012
InactiveKanawha Insurance Company300127Agent - Health3/21/201212/5/2014
InactiveKanawha Insurance Company300127Agent - Life3/21/201212/5/2014
InactiveLafayette Life Insurance Company (The)301039Agent - Health2/24/20001/6/2005
InactiveLafayette Life Insurance Company (The)301039Agent - Life2/24/20001/6/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAssuredpartners NL, LLC762387Agent - Life2/27/201311/1/2015
InactiveAssuredpartners NL, LLC762387Agent - Health2/27/201311/1/2015
InactiveBrown & Brown Of Kentucky Inc580592Agent - Life11/14/20032/12/2014
InactiveBrown & Brown Of Kentucky Inc580592Agent - Health11/14/20032/12/2014
InactiveDental Choice Agency Inc.398085Agent - Health7/9/20077/21/2014
InactiveDesignated Agent Company Inc.681257Agent - Life10/20/201311/1/2015
InactiveDesignated Agent Company Inc.681257Agent - Health10/20/201311/1/2015

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