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DEPARTMENT OF INSURANCE
Affiliations
Name
Bryant, Virginia
DOIID
985906
NAIC NPN
17952968
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
9/5/2023
7/31/2025
Active
Non Resident
Agent
Life
9/5/2023
7/31/2025
Inactive
Non Resident
Agent
Personal Lines
2/28/2019
7/31/2021
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
05/15/2025
07/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
AXIS Insurance Company
301290
Agent - Health
3/13/2018
7/24/2019
Active
Accendo Insurance Company
300312
Agent - Life
11/9/2023
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
9/13/2023
8/22/2024
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
10/3/2023
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
9/13/2023
8/22/2024
Inactive
Aetna Life Insurance Company
301140
Agent - Health
9/13/2023
8/22/2024
Inactive
American Continental Insurance Company
643130
Agent - Life
5/5/2020
7/31/2021
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
9/18/2020
12/11/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Health
9/18/2020
12/11/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Life
9/18/2020
12/11/2020
Inactive
CMFG Life Insurance Company
300929
Agent - Health
3/18/2020
5/28/2020
Inactive
CMFG Life Insurance Company
300929
Agent - Life
3/18/2020
5/28/2020
Inactive
CareSource Kentucky Co.
838179
Agent - Health
10/2/2020
7/18/2021
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
10/3/2023
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
11/9/2023
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Personal Lines
4/27/2019
3/3/2020
Active
Golden Rule Insurance Company
301943
Agent - Health
4/28/2025
Active
Golden Rule Insurance Company
301943
Agent - Life
4/28/2025
Inactive
Homesite Insurance Company
301139
Agent - Personal Lines
4/7/2019
6/12/2020
Inactive
Homesite Insurance Company of the Midwest
874850
Agent - Personal Lines
4/10/2019
6/12/2020
Inactive
Nationwide General Insurance Company
300603
Agent - Personal Lines
12/18/2019
3/31/2020
Inactive
Nationwide Insurance Company of America
300333
Agent - Personal Lines
11/18/2019
3/31/2020
Inactive
Progressive Direct Insurance Company
301379
Agent - Personal Lines
3/7/2019
2/18/2020
Inactive
QBE Insurance Corporation
300515
Agent - Personal Lines
3/21/2019
2/26/2020
Inactive
SilverScript Insurance Company
663526
Agent - Health
9/13/2023
8/22/2024
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
9/30/2020
7/31/2021
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
9/29/2020
7/31/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Health Plan Intermediaries Holdings
786463
Agent - Life
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Health
4/13/2018
7/24/2019
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