DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Financial Advisors	DOIID	761546	NAIC NPN	16324333

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/22/2011	3/31/2027
Active	Non Resident	Agent	Life	8/22/2011	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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/18/2017
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/23/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	12/18/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	12/18/2017
Active	Allianz Life Insurance Company of North America	301791	Agent - Health	11/19/2013
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	11/19/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	4/23/2020	8/11/2021
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	10/2/2012	11/12/2013
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/27/2022
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	10/23/2012	8/13/2015
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/24/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/23/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/30/2025
Active	First Health Life & Health Insurance Company	301735	Agent - Health	12/18/2017
Active	Humana Insurance Company	301104	Agent - Health	11/4/2024
Inactive	Independent Order of Foresters	300743	Agent - Life	9/14/2011	2/9/2015
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/5/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/5/2016
Active	Pacific Life Insurance Company	301848	Agent - Health	1/2/2019
Active	Pacific Life Insurance Company	301848	Agent - Life	1/2/2019
Active	Security Benefit Life Insurance Company	300583	Agent - Life	12/3/2014
Active	SilverScript Insurance Company	663526	Agent - Health	10/24/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/24/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/24/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/24/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Roby, Larry Dale	316716	Agent - Health	8/22/2011
Active	Roby, Larry Dale	316716	Agent - Life	8/22/2011