DEPARTMENT OF INSURANCE
Affiliations
NameSenior Insurance Marketing, LLCDOIID773074NAIC NPN7964798
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/20/2012 3/31/2026
ActiveNon ResidentAgentHealth1/20/2012 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
ActiveACE Property and Casualty Insurance Company300520Agent - Health5/9/2025 
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health9/10/2019 
ActiveAetna Health and Life Insurance Company300523Agent - Health7/25/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/10/2019 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/2/201211/20/2013
InactiveAmerican Retirement Life Insurance Company706303Agent - Health4/16/202112/23/2022
InactiveAmerican Retirement Life Insurance Company706303Agent - Life10/14/201512/21/2018
ActiveAmeritas Life Insurance Corporation300126Agent - Health9/4/2024 
InactiveArcadian Health Plan, Inc.728196Agent - Health5/15/201812/10/2018
ActiveBankers Fidelity Assurance Company554627Agent - Health6/12/2022 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health6/12/2022 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life6/12/2022 
ActiveCICA Life Insurance Company of America600487Agent - Life12/5/2023 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health10/2/2016 
InactiveCSI Life Insurance Company596032Agent - Health11/24/201510/7/2020
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health7/25/20182/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life7/25/20182/3/2025
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/25/2022 
InactiveElips Life Insurance Company301087Agent - Health8/23/20231/23/2025
InactiveEverest Reinsurance Company301836Agent - Health7/20/201810/14/2021
ActiveGerber Life Insurance Company300529Agent - Health6/29/2022 
ActiveGerber Life Insurance Company300529Agent - Life6/29/2022 
ActiveGlobe Life and Accident Insurance Company300639Agent - Health8/12/2021 
ActiveGlobe Life and Accident Insurance Company300639Agent - Life8/12/2021 
ActiveHealthSpring National Health Insurance Company300235Agent - Health5/23/2022 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health5/15/201812/10/2018
InactiveHumana Health Plan, Inc.300142Agent - Health5/15/201812/10/2018
InactiveHumana Insurance Company301104Agent - Health5/15/201812/10/2018
InactiveHumana Insurance Company301104Agent - Life5/15/201812/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/15/201812/10/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/15/201812/10/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health5/15/201812/10/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health5/15/201812/10/2018
ActiveLoyal American Life Insurance Company301172Agent - Health10/8/2020 
ActiveLoyal American Life Insurance Company301172Agent - Life10/8/2020 
InactiveLumico Life Insurance Company300354Agent - Health10/7/20204/14/2023
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health10/20/2020 
ActiveMedMutual Life Insurance Company301047Agent - Health2/20/2025 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health12/19/2024 
ActiveNational Health Insurance Company300554Agent - Health3/30/2023 
ActiveNational Health Insurance Company300554Agent - Life3/30/2023 
ActiveOceanview Life and Annuity Company301868Agent - Life7/2/2020 
ActivePekin Life Insurance Company300951Agent - Health11/7/2017 
ActivePekin Life Insurance Company300951Agent - Life11/7/2017 
ActiveReserve National Insurance Company301073Agent - Health8/22/2024 
ActiveSilverScript Insurance Company663526Agent - Health10/20/2019 
ActiveTier One Insurance Company301056Agent - Health10/24/2022 
ActiveTier One Insurance Company301056Agent - Life8/17/2022 
InactiveUnion Security Insurance Company301844Agent - Health7/31/20183/5/2021
ActiveUnited American Insurance Company300910Agent - Health11/6/2015 
ActiveUnited American Insurance Company300910Agent - Life11/6/2015 
ActiveUnited Insurance Company of America300775Agent - Health8/22/2024 
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/8/2014 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/201612/20/2018
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 - Health9/8/201412/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/2015 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/6/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/6/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveRoth, Michael T 587645Agent - Health1/20/2012 
ActiveRoth, Michael T 587645Agent - Life1/20/2012 

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