DEPARTMENT OF INSURANCE

Affiliations

Name	Surface Financial Grp Inc	DOIID	846737	NAIC NPN	3319924

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/29/2014	3/31/2026
Active	Non Resident	Agent	Life	7/29/2014	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	3/6/2025
Inactive	Accendo Insurance Company	300312	Agent - Health	10/6/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2017
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/31/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/18/2017
Active	Aetna Life Insurance Company	301140	Agent - Life	8/18/2017
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	9/16/2020
Active	American Life & Security Corp	1055058	Agent - Life	5/31/2024
Active	American National Insurance Company	301861	Agent - Life	4/6/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/30/2014
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/5/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/30/2014	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/30/2014	4/15/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/4/2022
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/6/2017
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/6/2017
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	12/26/2019
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/23/2021
Active	First Health Life & Health Insurance Company	301735	Agent - Health	8/18/2017
Active	Gerber Life Insurance Company	300529	Agent - Health	12/19/2024
Active	Gerber Life Insurance Company	300529	Agent - Life	12/19/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/29/2014	2/19/2015
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/29/2014	2/19/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/24/2020	12/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/3/2017	4/20/2018
Active	Humana Insurance Company	301104	Agent - Health	11/1/2019
Inactive	Humana Insurance Company	301104	Agent - Life	11/3/2017	4/20/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	11/30/2016	3/15/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	11/30/2016	3/15/2018
Inactive	Medico Insurance Company	301559	Agent - Health	7/10/2023	12/23/2024
Inactive	Medico Insurance Company	301559	Agent - Life	7/10/2023	12/23/2024
Active	National Health Insurance Company	300554	Agent - Health	10/8/2020
Active	National Health Insurance Company	300554	Agent - Life	10/8/2020
Active	North American Company for Life and Health Insurance	300291	Agent - Life	5/17/2020
Inactive	PHL Variable Insurance Company	300525	Agent - Life	1/5/2017	12/4/2020
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/22/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	1/22/2017	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
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/22/2017
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/6/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/6/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Surface, Scott Diener	307790	Agent - Health	7/29/2014
Active	Surface, Scott Diener	307790	Agent - Life	7/29/2014