DEPARTMENT OF INSURANCE
Affiliations
NameAmerican Ins Organization LlcDOIID787616NAIC NPN16513644
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife8/3/2012 3/31/2026
ActiveNon ResidentAgentHealth8/3/2012 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
ActiveAXIS Insurance Company301290Agent - Health10/31/2018 
InactiveAetna Health Inc. (PA)660717Agent - Health12/13/20124/24/2024
ActiveAetna Health and Life Insurance Company300523Agent - Health5/2/2017 
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/24/20204/24/2024
InactiveAetna Life Insurance Company301140Agent - Health12/13/20124/24/2024
InactiveAetna Life Insurance Company301140Agent - Life12/13/20124/24/2024
InactiveAmerican Continental Insurance Company643130Agent - Life5/2/201712/6/2021
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/1/20213/16/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health10/1/20213/16/2022
InactiveAnthem Life Insurance Company301209Agent - Health6/18/20143/16/2022
InactiveAnthem Life Insurance Company301209Agent - Life6/18/20143/16/2022
InactiveArcadian Health Plan, Inc.728196Agent - Health1/18/20186/1/2021
InactiveAssurity Life Insurance Company301099Agent - Health2/8/20173/23/2021
InactiveAssurity Life Insurance Company301099Agent - Life2/8/20173/23/2021
InactiveCIGNA Health & Life Insurance Company301783Agent - Health12/27/20174/13/2021
InactiveCIGNA Health & Life Insurance Company301783Agent - Life12/27/201712/27/2022
ActiveCombined Insurance Company of America301472Agent - Health4/5/2017 
ActiveCombined Insurance Company of America301472Agent - Life4/5/2017 
InactiveCompBenefits Dental, Inc.591692Agent - Health10/20/20153/14/2019
InactiveCompanion Life Insurance Company300191Agent - Health3/28/201712/13/2022
InactiveCompcare Health Services Insurance Corporation948751Agent - Health10/1/20213/16/2022
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health5/2/2017 
InactiveDental Concern Inc. (The)301641Agent - Health3/3/20206/1/2021
ActiveFederal Insurance Company301144Agent - Health11/4/2015 
InactiveFirst Health Life & Health Insurance Company301735Agent - Health2/17/20174/24/2024
InactiveGolden Rule Insurance Company301943Agent - Health12/15/20158/13/2021
InactiveGolden Rule Insurance Company301943Agent - Life12/15/20158/13/2021
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/12/20176/1/2021
InactiveHumana Health Plan, Inc.300142Agent - Health9/3/20156/1/2021
InactiveHumana Insurance Company301104Agent - Health9/3/20156/1/2021
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health9/20/20176/1/2021
InactiveSilverScript Insurance Company663526Agent - Health11/4/20194/24/2024
InactiveTime Insurance Company300683Agent - Health12/29/201411/15/2019
InactiveTime Insurance Company300683Agent - Life12/29/201411/15/2019
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health12/15/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life12/15/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health12/15/20152/14/2017
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/18/201912/28/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/11/201812/23/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActivePequeno, John P 685298Agent - Health8/3/2012 
ActivePequeno, John P 685298Agent - Life8/3/2012 

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