PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAmerican Seniors Financial Group, Inc.DOIID544154NAIC NPN7223450
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife5/23/2006 3/31/2026
ActiveResidentAgentHealth5/23/2006 3/31/2026
* 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
InactiveAmerican Continental Insurance Company643130Agent - Health4/16/200712/10/2013
InactiveAmerican Continental Insurance Company643130Agent - Life4/16/200712/10/2013
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health9/27/201211/20/2013
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/1/2012 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health5/1/20124/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/1/20124/15/2025
InactiveBaltimore Life Insurance Company300286Agent - Health8/15/200612/19/2006
InactiveBaltimore Life Insurance Company300286Agent - Life8/15/200612/19/2006
InactiveBankers Fidelity Life Insurance Company300193Agent - Health3/16/201412/24/2014
InactiveBankers Fidelity Life Insurance Company300193Agent - Life3/16/201412/24/2014
InactiveCSI Life Insurance Company596032Agent - Health6/23/20162/25/2019
InactiveCentral States Indemnity Company of Omaha300285Agent - Health5/20/201412/11/2014
ActiveCitizens Security Life Insurance Company301257Agent - Health9/1/2006 
ActiveCitizens Security Life Insurance Company301257Agent - Life9/1/2006 
InactiveCombined Insurance Company of America301472Agent - Health5/2/20141/12/2022
InactiveConnecticut General Life Insurance Company301333Agent - Health3/20/20136/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life3/20/20136/11/2014
InactiveConseco Health Insurance Company301725Agent - Health6/5/200711/13/2009
InactiveConseco Health Insurance Company301725Agent - Life6/5/200711/13/2009
InactiveConseco Insurance Company301202Agent - Health6/5/200710/1/2010
InactiveConseco Insurance Company301202Agent - Life6/5/200710/1/2010
InactiveContinental General Insurance Company300691Agent - Health3/7/200711/28/2008
InactiveContinental General Insurance Company300691Agent - Life3/7/200711/28/2008
InactiveFamily Life Insurance Company300356Agent - Health4/1/201012/28/2010
InactiveFamily Life Insurance Company300356Agent - Life4/1/201012/28/2010
InactiveForethought Life Insurance Company301407Agent - Health11/29/201011/13/2014
InactiveForethought Life Insurance Company301407Agent - Life11/29/201011/13/2014
InactiveGenworth Life Insurance Company300623Agent - Health8/16/200612/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life8/16/200612/7/2012
InactiveGerber Life Insurance Company300529Agent - Health9/11/20134/21/2015
InactiveGerber Life Insurance Company300529Agent - Life9/11/20134/21/2015
InactiveHealthSpring National Health Insurance Company300235Agent - Health3/7/200711/28/2008
InactiveHealthSpring National Health Insurance Company300235Agent - Life3/7/200711/28/2008
InactiveIndependent Order of Foresters300743Agent - Life12/9/201011/16/2011
InactiveLoyal American Life Insurance Company301172Agent - Health2/21/200812/14/2010
InactiveLoyal American Life Insurance Company301172Agent - Life2/21/200812/14/2010
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health4/9/200712/17/2010
InactiveNational States Insurance Company300579Agent - Health9/10/200911/30/2010
InactiveNational States Insurance Company300579Agent - Life9/10/200911/30/2010
InactiveProvident American Life & Health Insurance Company300413Agent - Health3/7/200712/30/2010
InactiveProvident American Life & Health Insurance Company300413Agent - Life3/7/20072/25/2011
InactiveShenandoah Life Insurance Company300130Agent - Health11/13/20063/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life11/13/20063/31/2009
InactiveStonebridge Life Insurance Company301614Agent - Health10/1/201210/1/2015
InactiveStonebridge Life Insurance Company301614Agent - Life10/1/201210/1/2015
InactiveTransamerica Life Insurance Company300571Agent - Health3/1/20136/15/2021
InactiveTransamerica Life Insurance Company300571Agent - Life3/1/20136/15/2021
InactiveUnited Teacher Associates Insurance Company300747Agent - Health3/7/200711/25/2014
InactiveUnited Teacher Associates Insurance Company300747Agent - Life3/7/200711/25/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/27/20128/22/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/27/20128/22/2013
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/15/20128/5/2013
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/7/20128/5/2013
InactiveWashington National Insurance Company300587Agent - Health10/1/20102/27/2014
InactiveWashington National Insurance Company300587Agent - Life10/1/20102/27/2014
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBurgett, Jennifer L. 574374Agent - Health8/28/20064/17/2008
InactiveBurgett, Jennifer L. 574374Agent - Life8/28/20064/17/2008
InactiveClark, David Allen 573506Agent - Health5/17/201111/10/2011
InactiveClark, David Allen 573506Agent - Life5/17/201111/10/2011
InactiveCostellow, Caleb Allen 636588Agent - Health7/3/201210/26/2012
InactiveCostellow, Caleb Allen 636588Agent - Life7/3/201210/26/2012
InactiveFish, Jackie Ray 602760Agent - Health4/17/20081/27/2010
InactiveFish, Jackie Ray 602760Agent - Life4/17/20081/27/2010
InactiveFord, Jerry Steven 544144Agent - Health5/17/201111/10/2011
InactiveFord, Jerry Steven 544144Agent - Life5/17/201111/10/2011
ActiveFuller, Brandi 782761Agent - Health8/10/2012 
ActiveFuller, Brandi 782761Agent - Life8/23/2012 
InactiveHood, Mark Alan 606753Agent - Health8/28/200610/12/2006
InactiveHood, Mark Alan 606753Agent - Life8/28/200610/12/2006
InactiveKendall, Mark Dennis 320693Agent - Health5/17/20113/1/2020
InactiveKendall, Mark Dennis 320693Agent - Life5/17/20113/1/2020
InactiveKey, Sonya Renee 570740Agent - Health10/12/20062/8/2007
InactiveLangford, Gary Steven 359526Agent - Health8/28/200611/10/2011
InactiveLangford, Gary Steven 359526Agent - Life8/28/200611/10/2011
InactiveLansden, William H 317248Agent - Health5/7/20135/1/2017
InactiveLansden, William H 317248Agent - Life5/7/20135/1/2017
InactiveLeedy, Tricia Monica 786855Agent - Health3/5/20137/31/2022
InactiveLeedy, Tricia Monica 786855Agent - Life3/5/20137/31/2022
InactiveMyatt, Ashley Christen 667347Agent - Health4/17/20081/27/2010
InactiveMyatt, Ashley Christen 667347Agent - Life4/17/20081/27/2010
ActiveMyatt, Davy Ray 379309Agent - Health5/23/2006 
ActiveMyatt, Davy Ray 379309Agent - Life5/23/2006 
ActiveMyatt, Garry Lee 342376Agent - Health8/28/2006 
ActiveMyatt, Garry Lee 342376Agent - Life8/28/2006 
ActiveMyatt, Jimmy 358714Agent - Health8/28/2006 
ActiveMyatt, Jimmy 358714Agent - Life8/28/2006 
InactiveMyatt, Joshua David 628534Agent - Health9/4/20128/31/2015
InactiveMyatt, Joshua David 628534Agent - Life9/4/20128/31/2015
InactiveMyatt, Julius Larry 323752Agent - Health8/28/20069/1/2015
InactiveMyatt, Julius Larry 323752Agent - Life8/28/20069/1/2015
InactiveMyatt, Teresa Kim 503745Agent - Health4/1/201312/13/2014
InactiveNelson, Curtis Andrew 564943Agent - Health8/28/20068/20/2010
InactiveNelson, Curtis Andrew 564943Agent - Life8/28/20068/20/2010
InactiveNorvell, Melinda 673120Agent - Health4/17/200812/31/2010
InactiveNorvell, Melinda 673120Agent - Life4/17/200812/31/2010
InactiveRaymer, April 667348Agent - Health1/29/20085/1/2010
InactiveSalmon, Lisa Dawn 521423Agent - Health8/21/201210/1/2014
InactiveSalmon, Lisa Dawn 521423Agent - Life8/21/201210/1/2014
InactiveThompson, Tom David 770331Agent - Health8/20/201210/26/2012
InactiveThompson, Tom David 770331Agent - Life8/23/201210/26/2012
ActiveVan Combs, Charles 739549Agent - Health7/3/2012 
ActiveVan Combs, Charles 739549Agent - Life7/3/2012 
InactiveVanHook, Paula Sue 542232Agent - Health8/28/200611/10/2011
InactiveVanHook, Paula Sue 542232Agent - Life8/28/200611/10/2011
InactiveWest, Valerie 711390Agent - Health5/17/201111/10/2011
InactiveWest, Valerie 711390Agent - Life5/17/201111/10/2011

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