DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Secure Prestige Partners LLC	DOIID	766097	NAIC NPN	16395794

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/7/2011		3/31/2027
Active	Non Resident	Agent	Life	10/7/2011		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	Forethought Life Insurance Company	301407	Agent - Health	10/17/2011	6/5/2017
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/17/2011	6/5/2017
Inactive	Gerber Life Insurance Company	300529	Agent - Health	6/3/2013	8/13/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Life	6/3/2013	8/13/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/5/2012	1/27/2014
Active	National Western Life Insurance Company	301515	Agent - Life	12/26/2011
Inactive	SILAC Insurance Company	300535	Agent - Health	10/10/2012	1/4/2022
Inactive	SILAC Insurance Company	300535	Agent - Life	10/10/2012	11/5/2020
Active	Sentinel Security Life Insurance Company	935789	Agent - Health	9/29/2017
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	9/29/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/5/2012	1/27/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/5/2012	1/27/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/10/2012	6/6/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/20/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	6/6/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/10/2012	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	6/6/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/13/2018	4/7/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	4/7/2022
Active	Graham, Matthew B	640480	Agent - Health	4/6/2022
Active	Graham, Matthew B	640480	Agent - Life	4/6/2022
Inactive	North, Timothy Owen	514133	Agent - Health	10/7/2011	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	10/7/2011	4/13/2018