DEPARTMENT OF INSURANCE
Affiliations
NameAmerilife Marketing Group LLCDOIID695953NAIC NPN11676299
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth12/22/2008 3/31/2026
ActiveNon ResidentAgentLife12/22/2008 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
ActiveAccendo Insurance Company300312Agent - Life7/29/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health2/22/2016 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/29/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/14/2020 
ActiveAetna Life Insurance Company301140Agent - Health2/22/2016 
ActiveAetna Life Insurance Company301140Agent - Life2/22/2016 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life2/13/20092/15/2016
ActiveAmerican General Life Insurance Company301585Agent - Health12/6/2015 
ActiveAmerican General Life Insurance Company301585Agent - Life12/6/2015 
ActiveAmerican Life & Security Corp1055058Agent - Life7/14/2023 
InactiveAmerican National Insurance Company301861Agent - Health10/25/20105/4/2021
ActiveAmerican National Insurance Company301861Agent - Life10/25/2010 
InactiveAmerican Pioneer Life Insurance Company301782Agent - Health5/3/20109/13/2012
InactiveAmerican Pioneer Life Insurance Company301782Agent - Life5/3/20109/13/2012
InactiveAmerican Retirement Life Insurance Company706303Agent - Health3/4/201312/23/2022
ActiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life4/3/2025 
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health4/1/200912/28/2020
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life4/1/200912/28/2020
ActiveAmeritas Life Insurance Corporation300126Agent - Health12/31/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/31/2016 
ActiveBaltimore Life Insurance Company300286Agent - Life8/31/2014 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health3/10/2014 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life10/28/2016 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health4/2/20192/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life4/2/20192/3/2025
InactiveConnecticut General Life Insurance Company301333Agent - Health3/6/20096/11/2014
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life4/21/2025 
InactiveCoventry Health and Life Insurance Company301771Agent - Health8/13/200912/16/2010
InactiveEquiTrust Life Insurance Company502870Agent - Life12/26/20103/11/2015
InactiveFamily Heritage Life Insurance Company of America301037Agent - Health3/24/20148/7/2014
InactiveFamily Heritage Life Insurance Company of America301037Agent - Life3/24/20148/7/2014
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life3/26/20143/12/2015
ActiveFirst Health Life & Health Insurance Company301735Agent - Health8/13/2009 
ActiveForethought Life Insurance Company301407Agent - Health11/23/2010 
ActiveForethought Life Insurance Company301407Agent - Life11/23/2010 
ActiveGerber Life Insurance Company300529Agent - Health2/14/2014 
ActiveGerber Life Insurance Company300529Agent - Life2/14/2014 
ActiveGolden Rule Insurance Company301943Agent - Health10/24/2024 
ActiveGolden Rule Insurance Company301943Agent - Life10/24/2024 
ActiveHealthSpring National Health Insurance Company300235Agent - Health4/21/2022 
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health12/7/2023 
ActiveIndependent Order of Foresters300743Agent - Life1/20/2009 
InactiveLasso Healthcare Insurance Company1022651Agent - Health6/16/202312/22/2023
ActiveLife Insurance Company of the Southwest301867Agent - Health6/23/2025 
ActiveLife Insurance Company of the Southwest301867Agent - Life6/23/2025 
InactiveLifeSecure Insurance Company301629Agent - Health2/1/20091/15/2021
InactiveLifeSecure Insurance Company301629Agent - Life2/1/200911/27/2012
ActiveLifeShield National Insurance Company737111Agent - Life2/11/2014 
ActiveLoyal American Life Insurance Company301172Agent - Health9/11/2014 
ActiveLoyal American Life Insurance Company301172Agent - Life9/11/2014 
InactiveLumico Life Insurance Company300354Agent - Life8/2/202011/20/2024
InactiveMarquette National Life Insurance Company300117Agent - Health5/3/20109/13/2012
InactiveMarquette National Life Insurance Company300117Agent - Life5/3/20109/13/2012
ActiveMedco Containment Life Insurance Company301557Agent - Health10/25/2023 
InactiveMutual of Omaha Insurance Company301012Agent - Health4/3/20091/27/2014
ActiveNassau Life Insurance Company of Kansas300667Agent - Health3/20/2020 
InactiveNassau Life Insurance Company of Texas300872Agent - Health5/3/20109/13/2012
InactiveNassau Life Insurance Company of Texas300872Agent - Life5/3/20109/13/2012
InactiveNassau Life and Annuity Company513671Agent - Life8/20/201911/30/2021
ActiveNational Health Insurance Company300554Agent - Health4/13/2022 
ActiveNational Health Insurance Company300554Agent - Life4/13/2022 
ActiveNational Western Life Insurance Company301515Agent - Life2/21/2011 
InactiveNorth American Company for Life and Health Insurance300291Agent - Health2/23/20114/3/2021
ActiveNorth American Company for Life and Health Insurance300291Agent - Life2/23/2011 
InactiveOmaha Insurance Company751908Agent - Health3/12/20121/27/2014
ActiveOxford Life Insurance Company301079Agent - Life7/21/2022 
InactivePHL Variable Insurance Company300525Agent - Life12/7/201112/2/2020
InactivePacifiCare Life and Health Insurance Company301304Agent - Health8/10/201011/4/2011
InactivePennsylvania Life Insurance Company301321Agent - Health5/3/20103/31/2013
ActiveRoyal Neighbors of America301646Agent - Life11/11/2015 
InactiveSILAC Insurance Company300535Agent - Health10/10/20129/23/2013
InactiveSILAC Insurance Company300535Agent - Life10/10/20129/23/2013
InactiveSecurity Life Insurance Company of America300936Agent - Health5/10/201612/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life5/10/201612/31/2016
ActiveSentinel Security Life Insurance Company935789Agent - Health10/17/2022 
ActiveSentinel Security Life Insurance Company935789Agent - Life10/17/2022 
InactiveShenandoah Life Insurance Company300130Agent - Health1/7/20093/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life1/7/20093/31/2009
ActiveSierra Health and Life Insurance Company Inc.300357Agent - Health10/26/2024 
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life9/23/2022 
ActiveTransamerica Life Insurance Company300571Agent - Health7/23/2021 
ActiveTransamerica Life Insurance Company300571Agent - Life7/23/2021 
InactiveUnited World Life Insurance Company300532Agent - Health4/3/200912/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/3/20091/27/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/3/20091/27/2014
ActiveUnitedHealthcare Insurance Company300946Agent - Health8/10/2010 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/11/2015 
ActiveWashington National Insurance Company300587Agent - Health12/9/2013 
ActiveWashington National Insurance Company300587Agent - Life12/9/2013 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/11/20185/13/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGraham, Mark Burnside 638756Agent - Health4/13/20184/30/2018
InactiveGraham, Mark Burnside 638756Agent - Life4/13/20182/16/2022
ActiveGraham, Matthew B 640480Agent - Health2/16/2022 
ActiveGraham, Matthew B 640480Agent - Life2/16/2022 
InactiveNorth, Timothy Owen 514133Agent - Health12/22/20084/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life12/22/20084/13/2018

© Commonwealth of Kentucky. All rights reserved.