DEPARTMENT OF INSURANCE
Affiliations
NameNetwork Insurance Senior Health Division ALG LLCDOIID702163NAIC NPN13041760
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/23/2009 3/31/2027
ActiveNon ResidentAgentHealth3/23/2009 3/31/2027
* 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
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health5/11/2015 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/29/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/6/2015 
ActiveAetna Life Insurance Company301140Agent - Life8/6/2015 
InactiveAmerican Continental Insurance Company643130Agent - Health6/9/20096/6/2016
InactiveAmerican Continental Insurance Company643130Agent - Life6/9/200912/6/2021
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life6/6/20149/18/2015
InactiveAmerican National Insurance Company301861Agent - Health10/26/20166/3/2021
ActiveAmerican National Insurance Company301861Agent - Life10/26/2016 
InactiveAmerican Retirement Life Insurance Company706303Agent - Health4/12/201312/21/2018
ActiveAmeritas Life Insurance Corporation300126Agent - Health9/23/2018 
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2017 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health10/2/2016 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health5/29/2024 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health3/29/20192/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life3/29/20192/3/2025
ActiveCigna Healthcare of Colorado, Inc.1098153Agent - Health11/13/2023 
InactiveCompBenefits Dental, Inc.591692Agent - Health3/10/20113/14/2019
ActiveCompBenefits Insurance Company301864Agent - Health6/7/2023 
InactiveConnecticut General Life Insurance Company301333Agent - Health5/4/20116/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life5/4/20116/11/2014
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/8/2009 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life6/8/20095/20/2016
ActiveDental Concern Inc. (The)301641Agent - Health3/10/2011 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health12/15/2010 
ActiveForethought Life Insurance Company301407Agent - Health3/7/2011 
ActiveForethought Life Insurance Company301407Agent - Life3/7/2011 
ActiveGerber Life Insurance Company300529Agent - Health5/26/2022 
ActiveGerber Life Insurance Company300529Agent - Life5/26/2022 
ActiveGolden Rule Insurance Company301943Agent - Health3/10/2025 
ActiveGolden Rule Insurance Company301943Agent - Life3/10/2025 
ActiveHealthSpring National Health Insurance Company300235Agent - Health11/23/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/25/2019 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health8/7/2023 
ActiveHumana Health Plan, Inc.300142Agent - Health3/10/2011 
ActiveHumana Insurance Company301104Agent - Health3/10/2011 
ActiveHumana Insurance Company301104Agent - Life3/10/2011 
ActiveHumana Insurance Company of Kentucky300826Agent - Health3/10/2011 
ActiveHumana Insurance Company of Kentucky300826Agent - Life3/10/2011 
ActiveHumana Medical Plan, Inc.801568Agent - Health8/12/2016 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/1/2016 
InactiveIndependent Order of Foresters300743Agent - Life7/22/201012/29/2021
InactiveKanawha Insurance Company300127Agent - Health3/10/201110/22/2015
InactiveKanawha Insurance Company300127Agent - Life3/10/201110/22/2015
InactiveLasso Healthcare Insurance Company1022651Agent - Health6/16/202312/22/2023
ActiveLife Insurance Company of the Southwest301867Agent - Health3/8/2021 
ActiveLife Insurance Company of the Southwest301867Agent - Life3/8/2021 
InactiveLifeSecure Insurance Company301629Agent - Health5/10/20112/5/2015
InactiveLifeSecure Insurance Company301629Agent - Life5/10/201111/27/2012
ActiveLoyal American Life Insurance Company301172Agent - Health11/10/2022 
InactiveLoyal American Life Insurance Company301172Agent - Life4/8/201512/22/2020
InactiveLumico Life Insurance Company300354Agent - Life8/2/202011/20/2024
ActiveMedco Containment Life Insurance Company301557Agent - Health11/13/2023 
InactiveNassau Life Insurance Company of Kansas300667Agent - Health8/13/20091/3/2014
InactiveNassau Life Insurance Company of Kansas300667Agent - Life8/13/200912/13/2012
InactiveNassau Life Insurance Company of Texas300872Agent - Health9/27/20109/13/2012
InactiveNassau Life Insurance Company of Texas300872Agent - Life9/27/20109/13/2012
InactiveNassau Life and Annuity Company513671Agent - Life4/15/201911/30/2021
ActiveNational Health Insurance Company300554Agent - Health10/27/2022 
ActiveNational Health Insurance Company300554Agent - Life10/27/2022 
ActiveNational Western Life Insurance Company301515Agent - Life5/2/2011 
InactivePHL Variable Insurance Company300525Agent - Life4/29/201412/3/2020
InactivePacifiCare Life and Health Insurance Company301304Agent - Health3/16/201111/4/2011
InactivePennsylvania Life Insurance Company301321Agent - Health8/13/20093/31/2013
InactivePennsylvania Life Insurance Company301321Agent - Life8/13/20093/31/2013
InactivePuritan Life Insurance Company of America301892Agent - Health10/14/200910/20/2010
InactivePuritan Life Insurance Company of America301892Agent - Life10/14/200910/20/2010
ActiveRoyal Neighbors of America301646Agent - Life7/9/2015 
InactiveSILAC Insurance Company300535Agent - Health10/10/20121/4/2022
InactiveSILAC Insurance Company300535Agent - Life10/10/20121/4/2022
ActiveSentinel Security Life Insurance Company935789Agent - Health10/18/2022 
ActiveSentinel Security Life Insurance Company935789Agent - Life10/18/2022 
ActiveSierra Health and Life Insurance Company Inc.300357Agent - Health10/12/2024 
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life9/16/2022 
InactiveTransamerica Life Insurance Company300571Agent - Health3/31/20104/29/2011
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/29/2024 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/14/201612/20/2018
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 - Health3/16/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/29/2024 
ActiveWashington National Insurance Company300587Agent - Health8/23/2012 
ActiveWashington National Insurance Company300587Agent - Life8/23/2012 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/11/20185/13/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGraham, Mark Burnside 638756Agent - Health4/13/20183/24/2022
InactiveGraham, Mark Burnside 638756Agent - Life4/13/20183/24/2022
ActiveGraham, Matthew B 640480Agent - Health3/24/2022 
ActiveGraham, Matthew B 640480Agent - Life3/24/2022 
InactiveNorth, Timothy Owen 514133Agent - Health3/23/20094/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life3/23/20098/31/2022

© Commonwealth of Kentucky. All rights reserved.