DEPARTMENT OF INSURANCE
Affiliations
NameNational Brokerage Alliance LLCDOIID810847NAIC NPN16967490
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife5/22/2013 3/31/2027
ActiveResidentAgentHealth5/22/2013 3/31/2027
* 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
ActiveACE Property and Casualty Insurance Company300520Agent - Health1/16/2023 
ActiveAccendo Insurance Company300312Agent - Life11/22/2022 
InactiveAmerican Retirement Life Insurance Company706303Agent - Health3/4/201512/21/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life3/4/201512/21/2018
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life2/27/20236/20/2024
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/7/2013 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health12/7/20134/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life12/7/20134/15/2025
InactiveCIGNA Health & Life Insurance Company301783Agent - Health5/22/201312/27/2022
InactiveCentral States Indemnity Company of Omaha300285Agent - Health1/14/20165/3/2018
ActiveCincinnati Life Insurance Company (The)300601Agent - Life8/25/2018 
InactiveCombined Insurance Company of America301472Agent - Health5/2/20143/6/2017
InactiveCompanion Life Insurance Company300191Agent - Health8/3/20151/13/2022
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health12/1/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life11/22/2022 
InactiveEquiTrust Life Insurance Company502870Agent - Life8/15/20142/6/2023
InactiveEverly Life Insurance Company561641Agent - Life12/24/201312/28/2016
InactiveForethought Life Insurance Company301407Agent - Health10/31/20141/2/2015
InactiveForethought Life Insurance Company301407Agent - Life10/31/20141/2/2015
ActiveGerber Life Insurance Company300529Agent - Health2/12/2015 
ActiveGerber Life Insurance Company300529Agent - Life2/12/2015 
ActiveHealthSpring National Health Insurance Company300235Agent - Health7/25/2022 
ActiveLoyal American Life Insurance Company301172Agent - Health8/29/2013 
ActiveLoyal American Life Insurance Company301172Agent - Life6/14/2016 
InactiveMedico Corp Life Insurance Company301777Agent - Health2/11/20255/5/2025
InactiveMedico Corp Life Insurance Company301777Agent - Life2/11/20255/5/2025
InactiveMedico Insurance Company301559Agent - Health12/27/20245/5/2025
InactiveMedico Insurance Company301559Agent - Life12/27/20245/5/2025
InactiveMedico Life and Health Insurance Company907406Agent - Health10/21/201912/28/2020
InactiveMedico Life and Health Insurance Company907406Agent - Life10/21/201912/28/2020
InactiveMutual of Omaha Insurance Company301012Agent - Health6/1/20224/24/2023
InactivePHL Variable Insurance Company300525Agent - Life4/27/201512/3/2020
InactivePan-American Life Insurance Company301530Agent - Health1/25/20191/29/2025
ActivePrincipal National Life Insurance Company301926Agent - Life5/21/2015 
InactiveReserve National Insurance Company301073Agent - Health5/14/20185/15/2019
InactiveReserve National Insurance Company301073Agent - Life5/14/20185/15/2019
InactiveRoyal Neighbors of America301646Agent - Life6/11/201412/15/2017
ActiveStandard Life and Casualty Insurance Company301699Agent - Health1/15/2015 
InactiveStonebridge Life Insurance Company301614Agent - Health6/27/201410/1/2015
InactiveStonebridge Life Insurance Company301614Agent - Life6/27/201410/1/2015
ActiveTransamerica Life Insurance Company300571Agent - Health10/1/2020 
ActiveTransamerica Life Insurance Company300571Agent - Life10/1/2020 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health3/27/201510/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life3/27/201510/1/2020
InactiveUnited Teacher Associates Insurance Company300747Agent - Health7/8/201311/25/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/29/20174/5/2018
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health6/29/20174/5/2018
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/20154/15/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/29/20174/5/2018
ActiveWashington National Insurance Company300587Agent - Health9/2/2014 
ActiveWashington National Insurance Company300587Agent - Life9/2/2014 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/20/20198/29/2022
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/6/20225/25/2022
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveMyatt, Davy Ray 379309Agent - Health5/22/2013 
ActiveMyatt, Davy Ray 379309Agent - Life5/22/2013 

© Commonwealth of Kentucky. All rights reserved.