black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AUGUSTAR LIFE ASSURANCE CORPORATION

INSURANCE COMPANY

License Number:
LHF45031
Status:
First Licensure:
01/22/1996
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
89206

Street Location:
1 FINANCIAL WAY
MONTGOMERY, OH 45242-5800
Mailing:
PO BOX 237
CINCINNATI, OH 45201-0237
Phone:
+1 (513) 794-6100
Fax:
+1 (513) 861-3600
Email:
molly_akin@augustarfinancial.com

History

License Type Start Date End Date
INSURANCE COMPANY 01/22/1996 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
DANIEL JOHN ADAMS
01/13/2022 PRN408026
PRADEEP K. AUDHO
09/07/2023 PRN173044
WILLIAM SCOTT BETHUNE
09/14/2016 PRN159765
ETHAN BAKER BOOTH
03/18/2014 PRN18597
WILLIAM GEORGE BORCHERT JR
08/10/2015 PRN108606
EMMANUEL JOHN BUTMANKIEWICZ
04/22/2022 PRN350431
DANIEL CHAPPELLE
05/05/2015 PRN219455
JAMES ALLEN CHENEY
12/18/2013 PRN112854
STEVEN J. COCHLAN
06/10/2014 PRN118793
MARTIN EDWARD DUGGAN
01/24/2022 PRR24727
WILLIAM PATRICK DUMONT
01/19/2010 PRR49385
TIMOTHY E. FARREN
03/30/2017 PRR65556
FREDERICK H. FISCHER
11/11/2020 PRR11796
JOHN D. FONTANA JR
10/07/2021 PRR41489
SCOTT ALAN GEIGER
09/10/2004 PRN27068
IVY L. GILBERT-VIGUE
08/15/2002 PRN88032
DANIEL F. GIRARD
03/16/2017 PRN283506
STEVEN GOLDBERG
08/10/2015 PRN122548
MATTHEW B. HENEBRY
11/16/2010 PRN105602
WILLIAM EDWARD HUSSON
12/22/2003 PRN77245
MARGARET M. JAMESON
01/15/2021 PRN268301
ROBERT J. KOZLOSKI
06/13/2024 PRN355378
JONATHAN LEE
02/27/2022 PRN273997
MART G. MC CLELLAN
10/31/2013 PRN221091
ANTHONY D. MCMULLEN
02/28/2022 PRN252242
CORY WILLARD MCPHEE
08/10/2015 PRN214560
ANTHONY M. MELSI
04/02/2015 PRN247863
ALAN LEWIS MELTZER
11/30/2009 PRN48153
BENNETT S. MEYER
03/02/2007 PRN122757
THE MILLENNIUM BROKERAGE GROUP LLC
01/25/2018 AGN84177
ALYSIA MARIE NAPLES
04/22/2022 PRN416540
PHIL JOHN NEUJAHR
09/26/2018 PRN232423
KERRY L. PEABODY
09/11/2023 PRR43793
WILLIAM D. PIKE
05/08/2017 PRR43097
JOHN ANDREW POLYCHRONIS
09/02/2009 PRN10651
SCOTT R. RAVITZ
05/21/2020 PRN296331
KEVIN BRUCE SEGAL
12/06/2021 PRN216831
ANDREW JOSEPH SHEETER
02/06/2015 PRN243881
MARC GREGORY SIGEL
04/22/2022 PRN416539
JAN DAVID SMIDA
07/22/2019 PRN120913
TIMOTHY J. STREID
10/31/2013 PRN221088
BRIAN DOMENICK SYMANSKI
04/22/2022 PRN383003
ERIC VINCENT WASSON
12/31/2013 PRN35415
ARNOLD EDWARD WINICK
09/23/2010 PRN122547
IRA R. YERMISH
10/14/2022 PRN431447
TROY VINCENT ZERVESKES
12/16/2013 PRN63689

Authority

Description Issue Date Termination Date Status
LIFE 03/01/1996 Active
HEALTH 03/01/1996 Active
LIFE AND HEALTH 01/22/1996 03/01/1996 Terminated

Contacts

Type Contact
SERVICE OF PROCESS CORPORATION SERVICE COMPANY
45 MEMORIAL CIR
AUGUSTA, ME 04330-6400
Phone: +1 (800) 927-9800
Fax: +1 (302) 636-5454
Email: sop@cscglobal.com
PRODUCER LICENSING CONTACT SCOTT GENTRY
SCOTT GENTRY
PO BOX 42237
CINCINNATI, OH 45242-0237
Phone: +1 (513) 794-4091
Fax: +1 (513) 794-4502
Email: appointmentprocessing@ohionational.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/18/2025 01:00:03 PM