DEPARTMENT OF INSURANCE

Affiliations

Name	AIS Administrators Inc	DOIID	518001	NAIC NPN	654161

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	1/13/2010		3/31/2026
Active	Non Resident	Agent	Life	3/27/2003		3/31/2026
Active	Non Resident	Agent	Casualty	7/6/2004		3/31/2026
Active	Non Resident	Agent	Health	3/27/2003		3/31/2026
Active	Non Resident	Agent	Property	7/2/2004		3/31/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/24/2005	1/22/2007
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2026	03/31/2026
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	6/23/2004	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/23/2004	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/23/2004	7/6/2022
Inactive	American General Assurance Company	300586	Agent - Health	3/5/2010	12/31/2012
Inactive	American General Assurance Company	300586	Agent - Life	3/5/2010	12/31/2012
Active	American General Life Insurance Company	301585	Agent - Health	12/31/2012
Active	American General Life Insurance Company	301585	Agent - Life	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	3/3/2010	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	3/3/2010	12/31/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/7/2004	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/7/2004	9/16/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/18/2006	1/16/2007
Inactive	Farmington Casualty Company	301137	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Farmington Casualty Company	301137	Agent - Property	8/18/2006	1/16/2007
Inactive	Federal Insurance Company	301144	Agent - Health	3/3/2004	2/12/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/7/2004	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/7/2004	10/5/2021
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	8/23/2005	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	8/23/2005	12/31/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/23/2005
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/23/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/28/2005	10/18/2006
Inactive	Humana Insurance Company	301104	Agent - Health	4/29/2005	10/18/2006
Inactive	Humana Insurance Company	301104	Agent - Life	4/29/2005	10/18/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/28/2005	10/18/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/28/2005	10/18/2006
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/28/2010
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/28/2010
Active	New York Life Insurance Company	300431	Agent - Health	4/21/2010
Active	New York Life Insurance Company	300431	Agent - Life	4/21/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/22/2004	6/7/2005
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/22/2004	6/7/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/22/2004	6/7/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/22/2004	6/7/2005
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/3/2004	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/3/2004	12/30/2009
Inactive	Response Worldwide Insurance Company	301194	Agent - Casualty	4/7/2005	12/28/2007
Inactive	Response Worldwide Insurance Company	301194	Agent - Property	4/7/2005	12/28/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/18/2006	1/16/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/18/2006	1/16/2007
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/18/2006	1/16/2007
Inactive	Time Insurance Company	300683	Agent - Health	4/13/2004	9/26/2007
Inactive	Time Insurance Company	300683	Agent - Life	4/13/2004	9/26/2007
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/18/2006	1/16/2007
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/18/2006	1/16/2007
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/18/2006	1/16/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/3/2004	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/3/2004	12/30/2009
Active	United States Life Insurance Company in the City of New York	301126	Agent - Health	7/19/2004
Active	United States Life Insurance Company in the City of New York	301126	Agent - Life	7/19/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Babnik, Marielle Mentzer	566049	Agent - Health
Denied	Babnik, Marielle Mentzer	566049	Agent - Life
Inactive	Bartee, Robert B	375562	Agent - Casualty	9/27/2005	10/31/2006
Inactive	Bartee, Robert B	375562	Agent - Health	9/27/2005	10/31/2006
Inactive	Bartee, Robert B	375562	Agent - Life	9/27/2005	10/31/2006
Inactive	Bartee, Robert B	375562	Agent - Property	9/27/2005	10/31/2006
Active	Benoit, Ronald J	652339	Administrator - Not Applicable	1/13/2010
Active	Benoit, Ronald J	652339	Agent - Casualty	5/9/2008
Active	Benoit, Ronald J	652339	Agent - Health	3/27/2008
Active	Benoit, Ronald J	652339	Agent - Life	3/27/2008
Active	Benoit, Ronald J	652339	Agent - Property	5/9/2008
Inactive	Carney, Georgianna	564822	Agent - Casualty	7/6/2004	6/5/2006
Inactive	Carney, Georgianna	564822	Agent - Property	7/2/2004	6/5/2006
Inactive	Carroll, William Michael	359730	Administrator - Not Applicable	10/31/2000	11/6/2006
Denied	Corney, Susan Elizabeth	564821	Agent - Health
Denied	Corney, Susan Elizabeth	564821	Agent - Life
Denied	Graff, James Gilbert	564981	Agent - Casualty
Denied	Graff, James Gilbert	564981	Agent - Property
Inactive	Hickey, Gary P	354877	Administrator - Not Applicable	10/31/2000	10/26/2006
Inactive	Hickey, Gary P	354877	Agent - Health	4/12/2003	6/5/2006
Inactive	Hickey, Gary P	354877	Agent - Life	4/12/2003	6/5/2006
Inactive	Hudon, David B	652340	Administrator - Not Applicable	2/9/2010	6/30/2017
Inactive	Hudon, David B	652340	Agent - Health	3/31/2008	6/19/2017
Inactive	Hudon, David B	652340	Agent - Life	3/31/2008	6/19/2017
Inactive	Scarborough, Jay Ross	554462	Agent - Casualty	1/18/2005	8/22/2006
Inactive	Scarborough, Jay Ross	554462	Agent - Property	1/18/2005	8/22/2006
Inactive	Scarborough, Jay Ross	554462	Surplus Lines Broker - Not Applicable	8/24/2005	10/23/2006
Inactive	Schanen, Robert Paul	535732	Agent - Health	10/31/2006	3/20/2025
Inactive	Schanen, Robert Paul	535732	Agent - Life	10/31/2006	3/20/2025
Denied	Stalls, Laura	1163443	Agent - Health
Denied	Stalls, Laura	1163443	Agent - Life
Inactive	Wilcox, Benjamin Davis William	576594	Agent - Casualty	10/31/2006	1/19/2010
Inactive	Wilcox, Benjamin Davis William	576594	Agent - Property	10/31/2006	1/19/2010
Inactive	Wilcox, Benjamin Davis William	576594	Surplus Lines Broker - Not Applicable	10/31/2006	1/22/2007
Inactive	Wilson, Patricia A	610684	Agent - Casualty	6/5/2006	10/23/2006
Inactive	Wilson, Patricia A	610684	Agent - Property	6/5/2006	10/23/2006