DEPARTMENT OF INSURANCE
Affiliations
NameSouthern Insurance Services, LLCDOIID626366NAIC NPN1632681
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth2/20/2006 3/31/2026
ActiveNon ResidentAgentLife2/20/2006 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
ActiveACE Property and Casualty Insurance Company300520Agent - Health5/12/2025 
InactiveAccendo Insurance Company300312Agent - Health7/25/202211/17/2023
ActiveAccendo Insurance Company300312Agent - Life7/25/2022 
ActiveAetna Health Inc. (PA)660717Agent - Health7/2/2011 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/25/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health7/2/2011 
ActiveAetna Life Insurance Company301140Agent - Life7/2/2011 
InactiveAmerican Continental Insurance Company643130Agent - Health4/29/201011/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life4/29/201011/12/2014
ActiveAmerican National Insurance Company301861Agent - Life5/6/2021 
InactiveAmerican National Life Insurance Company of Texas300912Agent - Health10/25/20169/1/2021
InactiveAmerican Retirement Life Insurance Company706303Agent - Health8/16/201912/22/2020
InactiveAmerican Retirement Life Insurance Company706303Agent - Life4/14/201512/21/2018
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/28/2010 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health9/28/20104/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life9/28/20104/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2017 
InactiveBankers Fidelity Assurance Company554627Agent - Health8/11/20219/29/2021
ActiveBankers Fidelity Life Insurance Company300193Agent - Health6/2/2025 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life6/2/2025 
ActiveCHA HMO, Inc.300662Agent - Health8/4/2023 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health1/7/2014 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health6/27/2025 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health1/26/20212/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life8/19/20212/3/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health1/2/20093/14/2019
ActiveCompBenefits Insurance Company301864Agent - Health11/25/2019 
InactiveCompBenefits Insurance Company301864Agent - Life1/2/20096/26/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConnecticut General Life Insurance Company301333Agent - Health10/2/20086/11/2014
InactiveConseco Health Insurance Company301725Agent - Health6/23/200810/1/2010
InactiveConseco Health Insurance Company301725Agent - Life6/23/200810/1/2010
InactiveConseco Insurance Company301202Agent - Health4/4/200710/1/2010
InactiveConseco Insurance Company301202Agent - Life4/4/200710/1/2010
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/25/2022 
ActiveDental Concern Inc. (The)301641Agent - Health10/3/2007 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/26/2024 
InactiveElips Life Insurance Company301087Agent - Health4/14/20221/23/2025
ActiveEssence Healthcare, Inc.657425Agent - Health11/3/2022 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life12/9/20113/14/2012
ActiveFirst Health Life & Health Insurance Company301735Agent - Health3/28/2013 
InactiveGarden State Life Insurance Company300610Agent - Health2/8/20214/5/2022
ActiveGerber Life Insurance Company300529Agent - Health6/13/2022 
ActiveGerber Life Insurance Company300529Agent - Life6/13/2022 
InactiveGolden Rule Insurance Company301943Agent - Health11/14/20141/10/2018
InactiveGolden Rule Insurance Company301943Agent - Life11/14/20141/10/2018
ActiveGuaranty Income Life Insurance Company552451Agent - Health8/25/2022 
ActiveGuaranty Income Life Insurance Company552451Agent - Life8/25/2022 
ActiveHealthSpring National Health Insurance Company300235Agent - Health5/24/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/24/2014 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health10/22/2018 
ActiveHumana Health Plan, Inc.300142Agent - Health2/23/2006 
ActiveHumana Insurance Company301104Agent - Health2/23/2006 
ActiveHumana Insurance Company301104Agent - Life2/23/2006 
ActiveHumana Insurance Company of Kentucky300826Agent - Health2/23/2006 
ActiveHumana Insurance Company of Kentucky300826Agent - Life2/23/2006 
ActiveHumana Medical Plan, Inc.801568Agent - Health10/24/2014 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/30/2016 
InactiveHumanaDental Insurance Company301457Agent - Health5/30/20072/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life5/30/20072/23/2012
InactiveKanawha Insurance Company300127Agent - Health7/18/200810/22/2015
InactiveKanawha Insurance Company300127Agent - Life1/6/201712/8/2017
InactiveLifeSecure Insurance Company301629Agent - Health5/19/20081/13/2023
InactiveLifeSecure Insurance Company301629Agent - Life7/12/200711/27/2012
ActiveLoyal American Life Insurance Company301172Agent - Health10/15/2021 
ActiveLoyal American Life Insurance Company301172Agent - Life10/15/2021 
InactiveLumico Life Insurance Company300354Agent - Health1/6/20212/17/2023
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health12/23/2021 
ActiveMedco Containment Life Insurance Company301557Agent - Health11/7/2023 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health9/18/2024 
ActiveMutual of Omaha Insurance Company301012Agent - Health11/29/2023 
ActiveNassau Life Insurance Company of Kansas300667Agent - Health9/1/2022 
ActiveNational Health Insurance Company300554Agent - Health1/3/2023 
ActiveNational Health Insurance Company300554Agent - Life1/3/2023 
InactivePacifiCare Life and Health Insurance Company301304Agent - Health10/29/20084/4/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life10/29/20087/17/2012
InactivePhiladelphia American Life Insurance Company300178Agent - Health6/26/200612/12/2006
InactivePhiladelphia American Life Insurance Company300178Agent - Life6/26/200612/12/2006
InactiveReserve National Insurance Company301073Agent - Health10/9/20155/24/2021
InactiveReserve National Insurance Company301073Agent - Life10/9/20155/24/2021
InactiveShenandoah Life Insurance Company300130Agent - Health8/14/20063/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life8/14/20063/31/2009
ActiveSierra Health and Life Insurance Company Inc.300357Agent - Health10/12/2024 
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
InactiveTexas Life Insurance Company300345Agent - Life10/1/200912/17/2012
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
ActiveUnited World Life Insurance Company300532Agent - Health11/29/2023 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health11/29/2023 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life11/29/2023 
ActiveUnitedHealthcare Insurance Company300946Agent - Health6/9/2016 
ActiveUnitedHealthcare Insurance Company300946Agent - Life10/29/2008 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health1/14/201611/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life1/14/201611/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/9/201612/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/9/2016 
ActiveWashington National Insurance Company300587Agent - Health10/1/2010 
ActiveWashington National Insurance Company300587Agent - Life10/1/2010 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/5/2022 
InactiveWorld Insurance Company300396Agent - Health7/28/20095/17/2010
InactiveWorld Insurance Company300396Agent - Life7/28/20095/17/2010
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGilliam, Mark Quinn 348603Agent - Health2/20/2006 
ActiveGilliam, Mark Quinn 348603Agent - Life2/20/2006 

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