DEPARTMENT OF INSURANCE
Affiliations
NameGeneral Insurance Services, IncDOIID736361NAIC NPN957808
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/14/2024 3/31/2026
ActiveNon ResidentAgentHealth5/14/2024 3/31/2026
ActiveNon ResidentAgentCasualty9/7/2010 3/31/2026
ActiveNon ResidentAgentProperty9/7/2010 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 - Health5/17/2024 
ActiveAetna Health of Ohio Inc.1065035Agent - Health5/17/2024 
ActiveAetna Life Insurance Company301140Agent - Health5/17/2024 
ActiveAll Savers Insurance Company301940Agent - Health4/22/2025 
ActiveAll Savers Insurance Company301940Agent - Life4/22/2025 
InactiveAmerican Economy Insurance Company300315Agent - Casualty12/28/20213/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property12/28/20213/29/2024
InactiveAmerican Family Home Insurance Company301817Agent - Casualty12/9/201611/14/2021
InactiveAmerican Family Home Insurance Company301817Agent - Property12/9/201611/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty12/9/201611/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Property12/9/201611/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty12/9/201611/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property12/9/201611/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty12/9/201611/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property12/9/201611/14/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/8/2024 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health7/8/2024 
InactiveAnthem Life Insurance Company301209Agent - Life7/8/20244/15/2025
ActiveCincinnati Indemnity Company (The)301566Agent - Casualty9/23/2022 
ActiveCincinnati Indemnity Company (The)301566Agent - Property9/23/2022 
ActiveCincinnati Insurance Company301298Agent - Casualty9/23/2022 
ActiveCincinnati Insurance Company301298Agent - Property9/23/2022 
ActiveGuardian Life Insurance Company of America301316Agent - Health2/20/2025 
ActiveGuardian Life Insurance Company of America301316Agent - Life2/20/2025 
InactiveSAFECO Insurance Company of America300159Agent - Casualty11/22/20223/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property11/22/20223/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty12/28/20213/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property12/28/20213/29/2024
ActiveSilverScript Insurance Company663526Agent - Health5/17/2024 
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/22/2025 
ActiveUnitedHealthcare Insurance Company300946Agent - Life4/22/2025 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/22/2025 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/22/2025 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health5/16/20243/2/2025
InactiveWellCare Prescription Insurance Inc.654329Agent - Health5/16/20243/2/2025
ActiveWellpoint Life and Health Insurance Company300469Agent - Health7/8/2024 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedDomazet, Stephanie Claire 1368630Agent - Casualty  
DeniedDomazet, Stephanie Claire 1368630Agent - Health  
DeniedDomazet, Stephanie Claire 1368630Agent - Life  
DeniedDomazet, Stephanie Claire 1368630Agent - Property  
ActiveGibson, Eric Scott 1340154Agent - Health5/14/2024 
ActiveGibson, Eric Scott 1340154Agent - Life5/14/2024 
ActiveKeene, Charles Andrew 506103Agent - Casualty9/7/2010 
ActiveKeene, Charles Andrew 506103Agent - Property9/7/2010 
ActiveMenne, James Craig 1349638Agent - Health7/24/2024 
InactiveMenne, James Craig 1349638Agent - Life7/11/20244/15/2025

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