PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameACSIA Long Term Care, Inc.DOIID594379NAIC NPN7958728
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/22/2004 3/31/2026
ActiveNon ResidentAgentHealth9/22/2004 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 National Insurance Company301861Agent - Health6/24/20144/29/2021
ActiveAmerican National Insurance Company301861Agent - Life6/24/2014 
InactiveCentral States Indemnity Company of Omaha300285Agent - Health12/2/20158/13/2018
InactiveGenworth Life Insurance Company300623Agent - Health10/21/200512/3/2019
InactiveGenworth Life Insurance Company300623Agent - Life10/21/200512/3/2019
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health3/12/200810/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life3/12/200810/4/2012
InactiveGolden Rule Insurance Company301943Agent - Health2/11/20053/5/2009
InactiveGolden Rule Insurance Company301943Agent - Life2/11/20053/5/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Health10/14/200412/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life10/14/200412/30/2009
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/2008 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/2008 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health3/29/2012 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life3/29/2012 
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health9/25/20082/18/2011
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life9/25/20082/18/2011
InactiveMedAmerica Insurance Company301568Agent - Health10/6/20043/2/2016
InactiveMetropolitan Life Insurance Company301948Agent - Health10/11/20045/26/2011
InactiveMetropolitan Life Insurance Company301948Agent - Life10/11/20045/26/2011
InactiveMutual of Omaha Insurance Company301012Agent - Health2/1/201012/26/2012
InactivePrudential Insurance Company of America300784Agent - Health5/8/200712/23/2014
InactivePrudential Insurance Company of America300784Agent - Life5/8/200712/23/2014
InactiveReserve National Insurance Company301073Agent - Health1/3/20205/26/2021
InactiveState Life Insurance Company301497Agent - Health4/24/20076/20/2016
InactiveState Life Insurance Company301497Agent - Life4/24/20076/20/2016
ActiveTransamerica Life Insurance Company300571Agent - Health1/15/2009 
ActiveTransamerica Life Insurance Company300571Agent - Life1/15/2009 
InactiveUnited Security Assurance Company of Pennsylvania736757Agent - Health10/30/201411/16/2020
InactiveUnited Security Assurance Company of Pennsylvania736757Agent - Life10/30/201411/16/2020
InactiveUnited of Omaha Life Insurance Company300156Agent - Health2/1/201012/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life2/1/201012/26/2012
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEaton, Arthur Thomas 567198Agent - Health9/22/20041/14/2009
InactiveEaton, Arthur Thomas 567198Agent - Life9/22/20041/14/2009
ActiveHensley, Steven Andrew 873190Agent - Health11/17/2015 
ActiveHensley, Steven Andrew 873190Agent - Life11/17/2015 
InactivePitbladdo, Richard 667333Agent - Health3/1/201311/17/2015
InactivePitbladdo, Richard 667333Agent - Life3/1/201311/17/2015
InactiveSkiff, Deborah Lynn 612455Agent - Health1/8/20103/1/2013
InactiveSkiff, Deborah Lynn 612455Agent - Life1/8/20103/1/2013

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