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DEPARTMENT OF INSURANCE
Affiliations
Name
Executive Marketing Group Inc
DOIID
774013
NAIC NPN
15646383
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
2/3/2012
3/31/2024
Inactive
Non Resident
Agent
Life
2/3/2012
3/31/2024
* 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 - Life
6/10/2020
3/31/2024
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
9/15/2020
3/31/2024
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
9/15/2020
3/31/2024
Inactive
Aetna Life Insurance Company
301140
Agent - Health
9/15/2020
3/31/2024
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Health
5/23/2017
12/18/2018
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
6/17/2016
12/18/2018
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
1/7/2013
3/3/2015
Inactive
Combined Insurance Company of America
301472
Agent - Health
3/31/2016
5/5/2017
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
3/6/2018
3/31/2024
Inactive
Gerber Life Insurance Company
300529
Agent - Health
4/18/2012
6/24/2013
Inactive
Gerber Life Insurance Company
300529
Agent - Life
4/18/2012
6/24/2013
Inactive
Independent Order of Foresters
300743
Agent - Health
5/25/2012
3/31/2024
Inactive
Independent Order of Foresters
300743
Agent - Life
5/25/2012
11/28/2022
Inactive
SilverScript Insurance Company
663526
Agent - Health
9/15/2020
3/31/2024
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
4/6/2022
5/28/2023
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
4/6/2022
5/29/2023
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Haberstroh, Richard
342879
Agent - Health
2/3/2012
3/31/2024
Inactive
Haberstroh, Richard
342879
Agent - Life
2/3/2012
3/31/2024
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