DEPARTMENT OF INSURANCE
Affiliations
NameSurface Financial Grp IncDOIID846737NAIC NPN3319924
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/29/2014 3/31/2026
ActiveNon ResidentAgentLife7/29/2014 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 Property and Casualty Insurance Company300520Agent - Health3/6/2025 
InactiveAccendo Insurance Company300312Agent - Health10/6/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health8/18/2017 
ActiveAetna Health and Life Insurance Company300523Agent - Health1/31/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/18/2017 
ActiveAetna Life Insurance Company301140Agent - Life8/18/2017 
ActiveAmerican Equity Investment Life Insurance Company300389Agent - Life9/16/2020 
ActiveAmerican Life & Security Corp1055058Agent - Life5/31/2024 
ActiveAmerican National Insurance Company301861Agent - Life4/6/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/30/2014 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health4/5/2022 
InactiveAnthem Life Insurance Company301209Agent - Health10/30/20144/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life10/30/20144/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health11/4/2022 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health10/6/2017 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life10/6/2017 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health12/26/2019 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/23/2021 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health8/18/2017 
ActiveGerber Life Insurance Company300529Agent - Health12/19/2024 
ActiveGerber Life Insurance Company300529Agent - Life12/19/2024 
InactiveGuarantee Trust Life Insurance Company301043Agent - Health8/29/20142/19/2015
InactiveGuarantee Trust Life Insurance Company301043Agent - Life8/29/20142/19/2015
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health3/24/202012/12/2024
InactiveHumana Health Plan, Inc.300142Agent - Health11/3/20174/20/2018
ActiveHumana Insurance Company301104Agent - Health11/1/2019 
InactiveHumana Insurance Company301104Agent - Life11/3/20174/20/2018
InactiveMedico Corp Life Insurance Company301777Agent - Health11/30/20163/15/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life11/30/20163/15/2018
InactiveMedico Insurance Company301559Agent - Health7/10/202312/23/2024
InactiveMedico Insurance Company301559Agent - Life7/10/202312/23/2024
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/3/2025 
ActiveNational Health Insurance Company300554Agent - Health10/8/2020 
ActiveNational Health Insurance Company300554Agent - Life10/8/2020 
ActiveNorth American Company for Life and Health Insurance300291Agent - Life5/17/2020 
InactivePHL Variable Insurance Company300525Agent - Life1/5/201712/4/2020
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
ActiveUnitedHealthcare Insurance Company300946Agent - Health1/22/2017 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health1/22/201712/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health1/22/2017 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/6/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/6/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveSurface, Scott Diener 307790Agent - Health7/29/2014 
ActiveSurface, Scott Diener 307790Agent - Life7/29/2014 

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