DEPARTMENT OF INSURANCE

Affiliations

Name	Boettcher, Andy Mark	DOIID	654188	NAIC NPN	2600760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/28/2018	11/30/2025
Active	Non Resident	Agent	Health	2/28/2018	11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	5 Star Life Insurance Company	300673	Agent - Health	4/9/2012	12/30/2014
Inactive	5 Star Life Insurance Company	300673	Agent - Life	4/9/2012	12/30/2014
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/30/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	12/4/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/9/2012	11/30/2017
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	8/24/2022
Inactive	American Continental Insurance Company	643130	Agent - Health	6/8/2007	4/7/2011
Inactive	American Continental Insurance Company	643130	Agent - Life	12/4/2018	8/11/2021
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	12/8/2020	12/26/2024
Inactive	American National Insurance Company	301861	Agent - Health	8/16/2011	11/30/2017
Active	American National Insurance Company	301861	Agent - Life	1/18/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/22/2012	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/22/2012	11/2/2016
Active	Athene Annuity and Life Company	301893	Agent - Life	4/16/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	6/9/2008	12/29/2008
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	6/9/2008	12/29/2008
Inactive	Clear Spring Life and Annuity Company	300919	Agent - Life	3/6/2017	11/30/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	3/22/2013
Inactive	Conseco Health Insurance Company	301725	Agent - Health	5/22/2007	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	5/22/2007	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	5/22/2007	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	5/22/2007	10/1/2010
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/4/2018
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/23/2008	4/7/2011
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/7/2008	5/13/2010
Inactive	Delaware Life Insurance Company	301256	Agent - Life	1/21/2022	11/22/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	3/22/2013
Inactive	Encova Life Insurance Company	301818	Agent - Life	2/25/2009	11/30/2017
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/27/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/15/2010	11/30/2017
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/9/2008	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/9/2008	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	12/16/2009	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	12/16/2009	12/7/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/10/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/10/2011	12/26/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/28/2009	12/6/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/28/2009	12/6/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	2/18/2016	12/12/2016
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	2/18/2016	12/12/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/17/2013	11/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/17/2013	11/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	7/17/2013	11/30/2017
Inactive	Humana Insurance Company	301104	Agent - Life	7/17/2013	11/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/17/2013	11/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/17/2013	11/30/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/17/2009	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/17/2009	2/24/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	2/25/2010	4/11/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/25/2010	4/11/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/17/2009	3/22/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/17/2009	3/22/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2009	12/26/2012
Active	National Health Insurance Company	300554	Agent - Health	3/30/2024
Active	National Health Insurance Company	300554	Agent - Life	3/30/2024
Inactive	National Western Life Insurance Company	301515	Agent - Life	7/11/2011	11/30/2017
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	11/3/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/3/2023
Inactive	New York Life Insurance Company	300431	Agent - Health	6/11/2012	4/2/2013
Inactive	New York Life Insurance Company	300431	Agent - Life	6/11/2012	4/2/2013
Active	North American Company for Life and Health Insurance	300291	Agent - Life	9/11/2024
Active	Oceanview Life and Annuity Company	301868	Agent - Life	2/16/2024
Inactive	Omaha Insurance Company	751908	Agent - Health	9/25/2012	8/22/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/14/2008	11/3/2011
Active	Principal National Life Insurance Company	301926	Agent - Life	5/27/2022
Inactive	SILAC Insurance Company	300535	Agent - Life	6/28/2021	12/21/2022
Active	Security Benefit Life Insurance Company	300583	Agent - Life	1/10/2023
Active	SilverScript Insurance Company	663526	Agent - Health	4/30/2020
Active	Tier One Insurance Company	301056	Agent - Health	2/24/2025
Active	Tier One Insurance Company	301056	Agent - Life	2/24/2025
Inactive	United World Life Insurance Company	300532	Agent - Health	12/7/2020	11/22/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/16/2009	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/16/2009	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/18/2014	11/30/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/9/2016	11/30/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/18/2014	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	11/30/2017
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	12/11/2017
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	12/11/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/22/2012	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/22/2012	11/2/2016
Denied	Health Plan Intermediaries Holdings	786463	Agent - Health
Denied	Health Plan Intermediaries Holdings	786463	Agent - Life