PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameNorth American Alliance LLCDOIID723426NAIC NPN15663058
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth2/24/2010 3/31/2026
ActiveNon ResidentAgentLife2/24/2010 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
ActiveAetna Health Inc. (PA)660717Agent - Health9/15/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/15/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/15/2020 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life8/27/201212/10/2014
InactiveAthene Annuity & Life Assurance Company301798Agent - Life11/8/20138/13/2015
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveFamily Heritage Life Insurance Company of America301037Agent - Health1/3/20149/18/2017
InactiveFamily Heritage Life Insurance Company of America301037Agent - Life1/3/20149/18/2017
ActiveFirst Health Life & Health Insurance Company301735Agent - Health1/23/2013 
ActiveGerber Life Insurance Company300529Agent - Health6/13/2022 
ActiveGerber Life Insurance Company300529Agent - Life6/13/2022 
InactiveGuarantee Trust Life Insurance Company301043Agent - Health2/12/20131/2/2019
InactiveGuarantee Trust Life Insurance Company301043Agent - Life2/12/20131/2/2019
InactiveIndependent Order of Foresters300743Agent - Life11/9/201112/11/2017
ActiveKansas City Life Insurance Company301444Agent - Health8/5/2015 
ActiveKansas City Life Insurance Company301444Agent - Life8/5/2015 
ActiveNational Western Life Insurance Company301515Agent - Life3/27/2012 
InactiveSILAC Insurance Company300535Agent - Health10/10/20129/23/2013
InactiveSILAC Insurance Company300535Agent - Life10/10/20129/23/2013
ActiveSentinel Security Life Insurance Company935789Agent - Health10/18/2022 
ActiveSentinel Security Life Insurance Company935789Agent - Life10/18/2022 
ActiveSilverScript Insurance Company663526Agent - Health9/15/2020 
ActiveUnitedHealthcare Insurance Company300946Agent - Health10/11/2011 
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 - Health10/11/201112/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/11/2015 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/20/20185/13/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGraham, Mark Burnside 638756Agent - Health4/13/20183/28/2022
InactiveGraham, Mark Burnside 638756Agent - Life4/13/20183/28/2022
ActiveGraham, Matthew B 640480Agent - Health3/28/2022 
ActiveGraham, Matthew B 640480Agent - Life3/28/2022 
InactiveNorth, Timothy Owen 514133Agent - Health2/24/20104/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life2/24/20104/13/2018

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