DEPARTMENT OF INSURANCE
Affiliations
NameNational Ins Marketing LlcDOIID684461NAIC NPN10690117
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife7/11/2008 3/31/2026
ActiveNon ResidentAgentHealth8/1/2008 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
ActiveIndependent Order of Foresters300743Agent - Life2/24/2009 
InactiveLifeSecure Insurance Company301629Agent - Health3/10/20091/13/2023
InactiveLifeSecure Insurance Company301629Agent - Life3/10/200911/27/2012
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGraham, Mark Burnside 638756Agent - Health4/13/20183/16/2022
InactiveGraham, Mark Burnside 638756Agent - Life4/13/20183/16/2022
ActiveGraham, Matthew B 640480Agent - Health12/16/2024 
ActiveGraham, Matthew B 640480Agent - Life12/16/2024 
InactiveNorth, Timothy Owen 514133Agent - Health8/1/20084/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life7/11/20084/13/2018
InactiveRamsey, Ryan 1002323Agent - Health3/16/202212/16/2024
InactiveRamsey, Ryan 1002323Agent - Life3/16/202212/16/2024

© Commonwealth of Kentucky. All rights reserved.