DEPARTMENT OF INSURANCE
Affiliations
NameNational Service Group Of Amerilife LLCDOIID715342NAIC NPN14203513
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/9/2009 3/31/2027
ActiveNon ResidentAgentLife10/9/2009 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 - Health8/14/2012 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/29/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/14/2012 
ActiveAetna Life Insurance Company301140Agent - Life8/14/2012 
ActiveAmerican General Life Insurance Company301585Agent - Health4/14/2015 
ActiveAmerican General Life Insurance Company301585Agent - Life4/14/2015 
ActiveAmerican Life & Security Corp1055058Agent - Life7/14/2023 
InactiveAmerican National Insurance Company301861Agent - Health10/25/20106/3/2021
InactiveAmerican Retirement Life Insurance Company706303Agent - Health2/21/201312/23/2022
ActiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life4/2/2025 
ActiveAmeritas Life Insurance Corporation300126Agent - Health9/23/2018 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/8/2022 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health10/14/2021 
InactiveAnthem Life Insurance Company301209Agent - Health10/4/20193/25/2021
InactiveAnthem Life Insurance Company301209Agent - Life10/4/20193/25/2021
ActiveArcadian Health Plan, Inc.728196Agent - Health10/17/2017 
ActiveBankers Fidelity Assurance Company554627Agent - Health8/3/2021 
ActiveBankers Fidelity Assurance Company554627Agent - Life8/3/2021 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health8/3/2021 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life8/3/2021 
InactiveBankers Life Insurance Company301784Agent - Life3/28/20142/8/2019
ActiveCIGNA Health & Life Insurance Company301783Agent - Health6/13/2023 
InactiveCIGNA Health & Life Insurance Company301783Agent - Life10/28/201612/27/2022
InactiveChesapeake Life Insurance Company (The)301017Agent - Health1/25/20192/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life1/25/20192/3/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health7/20/20123/14/2019
ActiveCompBenefits Insurance Company301864Agent - Health1/2/2020 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveDental Concern Inc. (The)301641Agent - Health7/20/2012 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life3/28/2023 
ActiveFidelity Security Life Insurance Company300466Agent - Health9/22/2014 
ActiveFidelity Security Life Insurance Company300466Agent - Life9/22/2014 
ActiveGerber Life Insurance Company300529Agent - Health5/19/2013 
ActiveGerber Life Insurance Company300529Agent - Life5/19/2013 
ActiveGlobe Life and Accident Insurance Company300639Agent - Health6/11/2020 
ActiveGlobe Life and Accident Insurance Company300639Agent - Life6/11/2020 
ActiveGolden Rule Insurance Company301943Agent - Health9/3/2013 
ActiveGolden Rule Insurance Company301943Agent - Life9/3/2013 
InactiveGreat Western Insurance Company501693Agent - Life10/4/20239/18/2024
ActiveGuaranty Income Life Insurance Company552451Agent - Health4/19/2022 
ActiveGuaranty Income Life Insurance Company552451Agent - Life4/19/2022 
ActiveHealthSpring National Health Insurance Company300235Agent - Health4/21/2022 
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/24/2014 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health4/15/2019 
ActiveHumana Health Plan, Inc.300142Agent - Health7/20/2012 
ActiveHumana Insurance Company301104Agent - Health7/13/2012 
ActiveHumana Insurance Company301104Agent - Life7/13/2012 
ActiveHumana Insurance Company of Kentucky300826Agent - Health7/20/2012 
ActiveHumana Insurance Company of Kentucky300826Agent - Life7/20/2012 
ActiveHumana Medical Plan, Inc.801568Agent - Health6/25/2015 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/1/2016 
InactiveLifeShield National Insurance Company737111Agent - Life12/2/20141/5/2016
ActiveLoyal American Life Insurance Company301172Agent - Health7/22/2014 
ActiveLoyal American Life Insurance Company301172Agent - Life7/22/2014 
InactiveLumico Life Insurance Company300354Agent - Life8/2/202011/20/2024
InactiveMedico Corp Life Insurance Company301777Agent - Health2/12/20152/13/2015
InactiveMedico Corp Life Insurance Company301777Agent - Life2/12/20152/13/2015
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health8/9/202311/6/2024
ActiveNational Security Insurance Company1282495Agent - Life1/16/2024 
ActiveNational Western Life Insurance Company301515Agent - Life2/21/2011 
ActiveNationwide Life Insurance Company300495Agent - Health2/27/2019 
ActiveNationwide Life Insurance Company300495Agent - Life2/27/2019 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health5/13/2016 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life5/13/2016 
ActiveNorth American Company for Life and Health Insurance300291Agent - Life5/26/2015 
ActiveOccidental Life Insurance Company of North Carolina301185Agent - Life4/2/2025 
ActiveOceanview Life and Annuity Company301868Agent - Life6/25/2020 
ActiveOhio State Life Insurance Company (The)300865Agent - Health2/24/2020 
ActiveOhio State Life Insurance Company (The)300865Agent - Life2/24/2020 
InactivePacifiCare Life and Health Insurance Company301304Agent - Health8/16/201011/4/2011
ActivePacific Guardian Life Insurance Co., Ltd.1074040Agent - Life6/6/2022 
ActivePruco Life Insurance Company300954Agent - Health4/7/2022 
ActivePruco Life Insurance Company300954Agent - Life4/7/2022 
ActiveRoyal Neighbors of America301646Agent - Life11/22/2023 
ActiveSilverScript Insurance Company663526Agent - Health5/28/2015 
ActiveState Life Insurance Company301497Agent - Health2/7/2016 
ActiveState Life Insurance Company301497Agent - Life2/7/2016 
ActiveThe American Home Life Insurance Company563717Agent - Life4/16/2025 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
InactiveTime Insurance Company300683Agent - Health12/11/201411/15/2019
InactiveTime Insurance Company300683Agent - Life12/11/201411/15/2019
ActiveTransamerica Life Insurance Company300571Agent - Health10/1/2020 
ActiveTransamerica Life Insurance Company300571Agent - Life12/14/2018 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health4/9/201810/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life4/9/201810/1/2020
InactiveUnited Teacher Associates Insurance Company300747Agent - Health6/11/201311/25/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/16/20106/19/2012
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/5/20152/14/2017
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/16/20106/19/2012
ActiveWashington National Insurance Company300587Agent - Health8/17/2012 
ActiveWashington National Insurance Company300587Agent - Life8/17/2012 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health2/23/20188/29/2022
InactiveWellCare Prescription Insurance Inc.654329Agent - Health11/24/20189/20/2022
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGraham, Mark Burnside 638756Agent - Health4/13/20183/22/2022
InactiveGraham, Mark Burnside 638756Agent - Life4/13/20183/22/2022
ActiveGraham, Matthew B 640480Agent - Health3/22/2022 
ActiveGraham, Matthew B 640480Agent - Life3/22/2022 
InactiveNorth, Timothy Owen 514133Agent - Health10/9/20094/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life10/9/20094/13/2018

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