PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAmerilife Ins Marketing LLCDOIID827225NAIC NPN16285185
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth11/11/2013 3/31/2027
ActiveNon ResidentAgentLife11/11/2013 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
ActiveAetna Health Inc. (PA)660717Agent - Health1/21/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health9/15/2020 
ActiveAetna Life Insurance Company301140Agent - Health1/21/2020 
ActiveAmerican Life & Security Corp1055058Agent - Life7/14/2023 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health4/2/20192/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life4/2/20192/3/2025
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life6/4/20202/26/2025
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health1/15/2021 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life1/15/2021 
InactivePruco Life Insurance Company300954Agent - Life4/7/20222/26/2025
ActiveRoyal Neighbors of America301646Agent - Life9/9/2015 
ActiveSilverScript Insurance Company663526Agent - Health1/21/2020 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health12/20/20185/13/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGraham, Mark Burnside 638756Agent - Health4/12/20182/8/2022
InactiveGraham, Mark Burnside 638756Agent - Life4/12/20182/8/2022
ActiveGraham, Matthew B 640480Agent - Health2/8/2022 
ActiveGraham, Matthew B 640480Agent - Life2/8/2022 
InactiveNorth, Timothy Owen 514133Agent - Health11/11/20134/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life11/11/20134/13/2018

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