DEPARTMENT OF INSURANCE

Affiliations

Name	Vernon, Gerod R	DOIID	988899	NAIC NPN	18737145

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	5/13/2021	7/31/2025
Active	Non Resident	Agent	Health	3/26/2018	7/31/2025
Active	Non Resident	Agent	Life	3/26/2018	7/31/2025
Active	Non Resident	Agent	Travel	9/21/2021	7/31/2025
* 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
Administrator	05/15/2025	07/31/2025
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	5/16/2018	1/5/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/9/2019
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020	4/24/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	12/9/2019
Active	Amalgamated Life Insurance Company	701415	Agent - Health	5/16/2018
Active	Amalgamated Life Insurance Company	701415	Agent - Life	5/16/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/31/2019	9/5/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/31/2019	9/5/2023
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	4/25/2018
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	5/15/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/2/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/2/2021	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/2/2021	4/15/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/16/2022	9/21/2023
Inactive	Aspen American Insurance Company	301513	Agent - Health	7/29/2019	12/15/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	8/12/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/3/2023	9/21/2023
Inactive	Everest Reinsurance Company	301836	Agent - Health	4/23/2018	1/7/2022
Inactive	Federal Insurance Company	301144	Agent - Health	4/20/2018	4/6/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/28/2020	11/30/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/28/2020	11/30/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/13/2023	9/21/2023
Inactive	Humana Insurance Company	301104	Agent - Health	12/16/2022	9/21/2023
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Health	8/6/2020	5/12/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Health	9/6/2018	1/19/2023
Active	National Guardian Life Insurance Company	300596	Agent - Health	2/1/2019
Active	National Guardian Life Insurance Company	300596	Agent - Life	2/1/2019
Active	National Health Insurance Company	300554	Agent - Health	11/13/2021
Active	National Health Insurance Company	300554	Agent - Life	11/13/2021
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/26/2018	7/29/2024
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/26/2018	7/29/2024
Active	Pan-American Life Insurance Company	301530	Agent - Health	11/24/2021
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/9/2019	4/24/2024
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/27/2018	12/9/2022
Inactive	United Concordia Insurance Company	903543	Agent - Health	3/26/2020	12/14/2022
Active	United States Fire Insurance Company	582240	Agent - Health	8/17/2020
Active	Washington National Insurance Company	300587	Agent - Health	9/25/2019
Active	Washington National Insurance Company	300587	Agent - Life	9/25/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/1/2019	4/8/2021
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/13/2023	12/11/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/1/2019	4/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Service Insurance Agency LLC	776503	Agent - Life	8/22/2019	3/31/2024
Inactive	American Service Insurance Agency LLC	776503	Agent - Health	8/22/2019	3/31/2024
Inactive	American Service Insurance Agency LLC	776503	Administrator - Not Applicable	5/25/2021	7/28/2022
Active	Health Plan Intermediaries Holdings	786463	Agent - Life	7/12/2018
Active	Health Plan Intermediaries Holdings	786463	Agent - Health	7/12/2018
Active	Health Plan Intermediaries Holdings	786463	Agent - Travel	12/14/2021
Inactive	Healthpocket Inc	915036	Agent - Life	8/16/2021	3/31/2024
Inactive	Healthpocket Inc	915036	Agent - Health	8/16/2021	3/31/2024