DEPARTMENT OF INSURANCE
Affiliations
NameACSIA Partners LLCDOIID784413NAIC NPN16681836
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife6/19/2012 3/31/2026
ActiveNon ResidentAgentHealth6/19/2012 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 American Insurance Company300625Agent - Health8/6/2021 
ActiveACE Property and Casualty Insurance Company300520Agent - Health1/13/2020 
ActiveAetna Health and Life Insurance Company300523Agent - Health9/4/2018 
InactiveAmerican Continental Insurance Company643130Agent - Life9/4/20188/11/2021
ActiveBanner Life Insurance Company301696Agent - Life12/18/2023 
ActiveCombined Insurance Company of America301472Agent - Health12/15/2014 
ActiveCombined Insurance Company of America301472Agent - Life12/15/2014 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/4/2018 
InactiveFederal Life Insurance Company300945Agent - Health8/1/20237/18/2024
InactiveFederal Life Insurance Company300945Agent - Life8/1/20237/18/2024
ActiveGuarantee Trust Life Insurance Company301043Agent - Health1/23/2015 
ActiveGuarantee Trust Life Insurance Company301043Agent - Life1/23/2015 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health4/19/2016 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life4/19/2016 
InactiveLincoln Life Assurance Company of Boston301915Agent - Life6/10/201511/19/2015
ActiveMetropolitan Life Insurance Company301948Agent - Health11/20/2024 
ActiveMetropolitan Life Insurance Company301948Agent - Life11/20/2024 
ActiveMetropolitan Tower Life Insurance Company300322Agent - Health11/20/2024 
ActiveMetropolitan Tower Life Insurance Company300322Agent - Life11/20/2024 
ActiveMutual of Omaha Insurance Company301012Agent - Health10/23/2024 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health2/26/2018 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life2/26/2018 
ActivePruco Life Insurance Company300954Agent - Life7/31/2023 
InactiveReserve National Insurance Company301073Agent - Health6/10/20155/24/2021
InactiveReserve National Insurance Company301073Agent - Life6/10/20155/24/2021
InactiveStandard Life and Accident Insurance Company301534Agent - Health12/5/20132/15/2017
InactiveStandard Life and Accident Insurance Company301534Agent - Life12/5/20131/8/2016
ActiveState Life Insurance Company301497Agent - Health4/6/2015 
ActiveState Life Insurance Company301497Agent - Life4/6/2015 
ActiveTransamerica Life Insurance Company300571Agent - Health2/20/2015 
ActiveTrustmark Insurance Company300317Agent - Health7/29/2021 
ActiveTrustmark Insurance Company300317Agent - Life7/29/2021 
InactiveUnited Security Assurance Company of Pennsylvania736757Agent - Health10/28/201411/16/2020
InactiveUnited Security Assurance Company of Pennsylvania736757Agent - Life10/28/201411/16/2020
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCohen, Robert W 801495Agent - Health3/1/20137/15/2014
InactiveCohen, Robert W 801495Agent - Life3/1/20137/15/2014
InactiveDehn, Kenneth William 720705Agent - Health7/15/201410/9/2017
InactiveDehn, Kenneth William 720705Agent - Life2/2/201510/9/2017
InactiveGoldberg, Mark Harvey 667441Agent - Health6/19/20123/1/2013
InactiveGoldberg, Mark Harvey 667441Agent - Life6/19/20123/1/2013
ActiveHensley, Steven Andrew 873190Agent - Health10/9/2017 
ActiveHensley, Steven Andrew 873190Agent - Life10/9/2017 
InactiveSkiff, Deborah Lynn 612455Agent - Health6/19/20123/1/2013
InactiveSkiff, Deborah Lynn 612455Agent - Life6/19/20123/1/2013
InactiveTancredi, Debra Dorman 835096Agent - Health5/30/201412/8/2015
InactiveTancredi, Debra Dorman 835096Agent - Life5/30/201412/8/2015

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