DEPARTMENT OF INSURANCE
Affiliations
NameExecutive Marketing Group IncDOIID774013NAIC NPN15646383
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth2/3/20123/31/2024 
InactiveNon ResidentAgentLife2/3/20123/31/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Life6/10/20203/31/2024
InactiveAetna Health Inc. (PA)660717Agent - Health9/15/20203/31/2024
InactiveAetna Health of Ohio Inc.1065035Agent - Health9/15/20203/31/2024
InactiveAetna Life Insurance Company301140Agent - Health9/15/20203/31/2024
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health5/23/201712/18/2018
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life6/17/201612/18/2018
InactiveAthene Annuity & Life Assurance Company301798Agent - Life1/7/20133/3/2015
InactiveCombined Insurance Company of America301472Agent - Health3/31/20165/5/2017
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/20183/31/2024
InactiveGerber Life Insurance Company300529Agent - Health4/18/20126/24/2013
InactiveGerber Life Insurance Company300529Agent - Life4/18/20126/24/2013
InactiveIndependent Order of Foresters300743Agent - Health5/25/20123/31/2024
InactiveIndependent Order of Foresters300743Agent - Life5/25/201211/28/2022
InactiveSilverScript Insurance Company663526Agent - Health9/15/20203/31/2024
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/6/20225/28/2023
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/6/20225/29/2023
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHaberstroh, Richard 342879Agent - Health2/3/20123/31/2024
InactiveHaberstroh, Richard 342879Agent - Life2/3/20123/31/2024

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