DEPARTMENT OF INSURANCE

Affiliations

Name	Mercer (US) LLC	DOIID	595151	NAIC NPN	652197

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	12/19/2006	3/31/2026
Active	Non Resident	Agent	Life	3/12/2019	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

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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Health	3/12/2016
Active	AXIS Insurance Company	301290	Agent - Health	8/16/2012
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/21/2012
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	11/21/2012	1/26/2018
Inactive	CHA HMO, Inc.	300662	Agent - Health	7/22/2005	3/31/2006
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/26/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/4/2004	3/31/2006
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/4/2004	3/31/2006
Active	Federal Insurance Company	301144	Agent - Health	8/17/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/5/2005	3/31/2006
Inactive	Humana Insurance Company	301104	Agent - Health	8/5/2005	3/31/2006
Inactive	Humana Insurance Company	301104	Agent - Life	8/5/2005	3/31/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/23/2007	5/5/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/23/2007	5/5/2008
Active	Minnesota Life Insurance Company	300488	Agent - Health	1/23/2007
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	1/23/2007	1/26/2018
Active	Vision Service Plan Insurance Company	300526	Agent - Health	10/4/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Abrams, Ryan	920938	Agent - Health
Denied	Abrams, Ryan	920938	Agent - Life
Inactive	Alvey, Barbara A	306122	Agent - Health	2/6/2009	1/26/2018
Inactive	Alvey, Barbara A	306122	Agent - Life	2/6/2009	1/26/2018
Active	Camaj, Simon	377861	Agent - Health	6/20/2022
Active	Camaj, Simon	377861	Agent - Life	6/20/2022
Denied	Colbert, Brenton	969186	Agent - Health
Denied	Colbert, Brenton	969186	Agent - Life
Denied	Cooney, John M	743306	Agent - Health
Denied	Cooney, John M	743306	Agent - Life
Inactive	Erixon, Deborah Lynn	315604	Agent - Health	12/19/2006	1/26/2009
Inactive	Erixon, Deborah Lynn	315604	Agent - Life	12/19/2006	1/26/2009
Denied	Grant, Elizabeth	724708	Agent - Health
Denied	Grant, Elizabeth	724708	Agent - Life
Denied	Hall, John	963421	Agent - Health
Denied	Hall, John	963421	Agent - Life
Denied	Louie, Steven Bock	688910	Agent - Health
Denied	Louie, Steven Bock	688910	Agent - Life
Inactive	Martens, Gregory J	762435	Agent - Life	3/12/2019	6/20/2022
Active	Mccarthy, Christopher	807322	Agent - Health	1/26/2018
Denied	Mccarthy, Christopher	807322	Agent - Life
Denied	Nicholl, Chad E	737365	Agent - Health
Denied	Nicholl, Chad E	737365	Agent - Life
Denied	Roberts, Martin	904677	Agent - Health
Denied	Roberts, Martin	904677	Agent - Life