DEPARTMENT OF INSURANCE

Affiliations

Name	Premier Insurance Partners LLC	DOIID	585527	NAIC NPN	7867252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/3/2004	3/31/2026
Active	Non Resident	Agent	Health	3/3/2004	3/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	12/19/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/24/2015
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/26/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/24/2015
Active	Aetna Life Insurance Company	301140	Agent - Life	4/24/2015
Inactive	American Continental Insurance Company	643130	Agent - Life	4/26/2018	8/11/2021
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	4/16/2007
Active	American Life & Security Corp	1055058	Agent - Life	7/14/2023
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	1/3/2019	12/22/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	11/13/2013	12/21/2018
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	4/9/2025
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	7/3/2008	10/3/2023
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/3/2008
Active	Atlantic Coast Life Insurance Company	642114	Agent - Health	1/27/2022
Active	Atlantic Coast Life Insurance Company	642114	Agent - Life	1/27/2022
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/2/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/28/2019	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/28/2019	2/3/2025
Active	Christian Fidelity Life Insurance Company	301075	Agent - Life	1/23/2024
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/7/2010	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/7/2010	6/11/2014
Inactive	Conseco Health Insurance Company	301725	Agent - Health	6/22/2007	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	6/22/2007	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	6/22/2007	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	6/22/2007	10/1/2010
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/26/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/19/2023
Active	EquiTrust Life Insurance Company	502870	Agent - Life	7/13/2006
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/17/2012
Active	First Health Life & Health Insurance Company	301735	Agent - Health	4/24/2015
Active	Forethought Life Insurance Company	301407	Agent - Health	4/19/2012
Active	Forethought Life Insurance Company	301407	Agent - Life	3/29/2012
Active	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	6/4/2020
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/16/2010	10/4/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/16/2010	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/16/2010	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/16/2010	10/4/2012
Active	Gerber Life Insurance Company	300529	Agent - Health	6/13/2013
Active	Gerber Life Insurance Company	300529	Agent - Life	6/13/2013
Active	Golden Rule Insurance Company	301943	Agent - Health	3/12/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	3/12/2025
Active	HealthSpring National Health Insurance Company	300235	Agent - Health	7/29/2024
Active	Independent Order of Foresters	300743	Agent - Life	2/20/2008
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	10/8/2018
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	6/16/2023	12/22/2023
Active	Liberty Bankers Life Insurance Company	542461	Agent - Life	10/10/2011
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	7/22/2014	12/27/2022
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	7/22/2014	12/27/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	8/2/2020	11/20/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/8/2008	1/27/2014
Active	Nassau Life Insurance Company of Kansas	300667	Agent - Health	6/24/2024
Active	Nassau Life and Annuity Company	513671	Agent - Life	10/23/2023
Active	National Health Insurance Company	300554	Agent - Health	3/7/2023
Active	National Health Insurance Company	300554	Agent - Life	3/7/2023
Active	National Western Life Insurance Company	301515	Agent - Life	2/21/2011
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	1/20/2021
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/20/2021
Active	Oceanview Life and Annuity Company	301868	Agent - Life	2/5/2020
Active	Ohio State Life Insurance Company (The)	300865	Agent - Life	10/6/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	1/27/2014
Inactive	Oxford Life Insurance Company	301079	Agent - Health	7/12/2012	12/23/2019
Active	Oxford Life Insurance Company	301079	Agent - Life	1/19/2024
Inactive	PHL Variable Insurance Company	300525	Agent - Life	12/31/2013	12/3/2020
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/31/2010	11/3/2011
Active	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022
Active	Royal Neighbors of America	301646	Agent - Life	9/9/2015
Inactive	SILAC Insurance Company	300535	Agent - Health	10/10/2012	9/23/2013
Inactive	SILAC Insurance Company	300535	Agent - Life	10/10/2012	9/23/2013
Active	Sentinel Security Life Insurance Company	935789	Agent - Health	10/19/2022
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	10/19/2022
Active	SilverScript Insurance Company	663526	Agent - Health	1/13/2020
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	9/16/2022
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/3/2007	8/14/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	3/3/2004	7/1/2011
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	3/3/2004	7/1/2011
Inactive	United World Life Insurance Company	300532	Agent - Health	12/8/2008	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/8/2008	1/27/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/8/2008	1/27/2014
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/31/2010
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/31/2010	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015
Inactive	Washington National Insurance Company	300587	Agent - Health	6/22/2007	7/10/2018
Inactive	Washington National Insurance Company	300587	Agent - Life	6/22/2007	7/10/2018
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/20/2018	5/13/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/13/2018	8/24/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	8/24/2022
Inactive	Morgan, Daniel Edward	906233	Agent - Health	11/2/2023	3/28/2024
Inactive	Morgan, Daniel Edward	906233	Agent - Life	11/2/2023	3/28/2024
Inactive	North, Timothy Owen	514133	Agent - Health	3/3/2004	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	3/3/2004	4/13/2018
Inactive	Ramsey, Ryan	1002323	Agent - Health	4/8/2024	2/3/2025
Inactive	Ramsey, Ryan	1002323	Agent - Life	4/8/2024	2/3/2025
Active	Sheen, Andrew	1292171	Agent - Health	2/3/2025
Active	Sheen, Andrew	1292171	Agent - Life	2/3/2025
Inactive	Sipes, Janet Leigh	658658	Agent - Health	8/11/2022	11/2/2023
Inactive	Sipes, Janet Leigh	658658	Agent - Life	8/23/2022	11/2/2023