DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Product Development Group, LC	DOIID	585528	NAIC NPN	8013377

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/26/2004		3/31/2026
Active	Non Resident	Agent	Health	4/26/2004		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	7/29/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/24/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/29/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	2/19/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/15/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/3/2024
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Health	11/15/2022
Active	Cigna Healthcare of Colorado, Inc.	1098153	Agent - Life	11/15/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	1/24/2011
Active	EquiTrust Life Insurance Company	502870	Agent - Life	4/13/2009
Active	First Health Life & Health Insurance Company	301735	Agent - Health	1/24/2011
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	11/12/2024
Active	SilverScript Insurance Company	663526	Agent - Health	1/9/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/3/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/13/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/3/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	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	6/17/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	6/17/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	6/17/2022
Active	Graham, Matthew B	640480	Agent - Health	6/17/2022
Active	Graham, Matthew B	640480	Agent - Life	6/17/2022
Inactive	North, Timothy Owen	514133	Agent - Health	4/26/2004	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	4/26/2004	4/13/2018