DEPARTMENT OF INSURANCE
Affiliations
NameNational United Brokers IncDOIID625347NAIC NPN2438567
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth12/4/2019 3/31/2028
ActiveNon ResidentAgentLife12/4/2019 3/31/2028
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Life6/10/202012/19/2025
InactiveAetna Health Inc.300694Agent - Health8/15/200612/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health4/8/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health4/8/2021 
InactiveAetna Life Insurance Company301140Agent - Life8/15/20063/31/2008
InactiveCareSource Kentucky Co.838179Agent - Health3/5/202012/26/2025
ActiveSilverScript Insurance Company663526Agent - Health5/21/2020 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/8/2020 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAyers, Randolph J 303833Agent - Health12/4/2019 
Pending ReplacementAyers, Randolph J 303833Agent - Life12/4/2019 

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