DEPARTMENT OF INSURANCE

Affiliations

Name	Continental Ins Service	DOIID	786208	NAIC NPN	16709862

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/14/2012	3/31/2026
Active	Non Resident	Agent	Health	7/14/2012	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/27/2017
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/20/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/10/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	3/27/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	3/27/2017
Inactive	American Continental Insurance Company	643130	Agent - Life	8/20/2019	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/6/2012	11/20/2013
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	6/2/2014	12/24/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	6/2/2014	12/24/2015
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/15/2017	12/21/2018
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	3/15/2017	12/21/2018
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	First Health Life & Health Insurance Company	301735	Agent - Health	3/27/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2017
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/26/2012
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/26/2012	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	12/29/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Baskin, Michael Eugene	332200	Agent - Health	7/14/2012
Active	Baskin, Michael Eugene	332200	Agent - Life	7/14/2012