DEPARTMENT OF INSURANCE
Affiliations
NameExcelsior Insurance Brokerage, IncDOIID600265NAIC NPN7890560
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife12/21/2004 3/31/2026
ActiveNon ResidentAgentHealth12/21/2004 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
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health1/28/2010 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health1/28/2010 
ActiveAetna Life Insurance Company301140Agent - Life1/28/2010 
ActiveAll Savers Insurance Company301940Agent - Health4/5/2021 
ActiveAll Savers Insurance Company301940Agent - Life4/5/2021 
InactiveAmerican Republic Corp Insurance Company300615Agent - Health11/10/200912/8/2010
InactiveAmerican Republic Corp Insurance Company300615Agent - Life11/10/200912/8/2010
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/31/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/31/2016 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/3/2017 
InactiveAnthem Life Insurance Company301209Agent - Health5/3/20174/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/3/20174/15/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Health9/5/20172/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life9/5/20172/3/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health11/24/20103/14/2019
InactiveCompBenefits Insurance Company301864Agent - Health11/24/20106/26/2013
InactiveCompBenefits Insurance Company301864Agent - Life11/24/20106/26/2013
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveDental Concern Inc. (The)301641Agent - Health3/21/2009 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health9/26/2016 
ActiveGolden Rule Insurance Company301943Agent - Health4/10/2008 
ActiveGolden Rule Insurance Company301943Agent - Life4/10/2008 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health4/29/20142/23/2018
ActiveHumana Health Plan, Inc.300142Agent - Health5/26/2005 
ActiveHumana Insurance Company301104Agent - Health5/26/2005 
InactiveHumana Insurance Company301104Agent - Life5/26/20051/18/2022
ActiveHumana Insurance Company of Kentucky300826Agent - Health5/23/2005 
ActiveHumana Insurance Company of Kentucky300826Agent - Life5/23/2005 
InactiveHumanaDental Insurance Company301457Agent - Health3/2/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life3/2/201212/19/2012
InactiveKanawha Insurance Company300127Agent - Health5/13/201010/22/2015
InactiveKanawha Insurance Company300127Agent - Life5/13/201010/22/2015
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health6/16/2025 
ActiveNational Health Insurance Company300554Agent - Health12/6/2022 
ActiveNational Health Insurance Company300554Agent - Life12/6/2022 
ActivePrincipal Life Insurance Company300129Agent - Health8/2/2005 
ActivePrincipal Life Insurance Company300129Agent - Life8/2/2005 
ActiveSecurian Life Insurance Company300757Agent - Health11/29/2005 
ActiveSecurian Life Insurance Company300757Agent - Life11/29/2005 
InactiveSecurity Life Insurance Company of America300936Agent - Health8/2/201312/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life8/2/201312/31/2016
ActiveSilverScript Insurance Company663526Agent - Health10/19/2019 
InactiveStandard Security Life Insurance Company of NY301487Agent - Health5/10/20071/20/2010
InactiveStandard Security Life Insurance Company of NY301487Agent - Life5/10/20071/20/2010
InactiveTime Insurance Company300683Agent - Health4/20/200711/15/2019
InactiveTime Insurance Company300683Agent - Life4/20/200711/15/2019
InactiveTransamerica Life Insurance Company300571Agent - Health7/11/20188/19/2021
InactiveTransamerica Life Insurance Company300571Agent - Life7/11/20188/19/2021
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/30/201810/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/30/201810/1/2020
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/9/2021 
ActiveUnitedHealthcare Insurance Company300946Agent - Life4/1/2011 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/20195/3/2021
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/9/2021 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Life7/9/2021 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/10/2024 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Life7/9/2021 
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/22/20165/3/2021
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/6/20222/29/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/6/20222/29/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveNicol, Thomas John 594979Agent - Health12/21/2004 
ActiveNicol, Thomas John 594979Agent - Life12/21/2004 

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