black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AUGUSTAR LIFE INSURANCE COMPANY

INSURANCE COMPANY

License Number:
LHF979
Status:
First Licensure:
12/28/1988
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
67172

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

History

License Type Start Date End Date
INSURANCE COMPANY 02/28/1990 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
JAMES A. ALBANESE
02/19/2024 PRN427052
ETHAN BAKER BOOTH
02/27/2025 PRN18597
DAVID A. COURCHENE
12/15/2023 PRN258843
MARTIN EDWARD DUGGAN
01/24/2022 PRR24727
WILLIAM PATRICK DUMONT
04/22/2024 PRR49385
TIMOTHY E. FARREN
04/16/2019 PRR65556
JOHN D. FONTANA JR
07/12/2021 PRR41489
DANIEL F. GIRARD
05/25/2017 PRN283506
PATRICK JOSEPH HEALY
01/11/2024 PRN461049
MARGARET M. JAMESON
02/13/2024 PRN268301
JOEL M. JOHNSON
10/30/2023 PRN72954
SEAN M. KELLEY
02/21/2024 PRN338131
TYLER R. KRETSCHMAR
01/30/2024 PRN374621
JONATHAN LEE
11/22/2021 PRN273997
AMY N. MADDEN
02/13/2024 PRN80301
MART G. MC CLELLAN
09/25/2015 PRN221091
ELIZABETH MEADER
05/23/2024 PRN355555
OHIO NATIONAL INSURANCE AGENCY INC
08/03/2004 AGN97505
WILLIAM D. PIKE
02/13/2024 PRR43097
JOHN ANDREW POLYCHRONIS
09/12/2008 PRN10651
MARK RANGER
12/06/2023 PRR206738
WILLIAM C. ROSEN
01/30/2024 PRN307512
DAVID SHAPIRO
10/31/2023 PRN379939
BENJAMIN G. SMITH-TREVAIL
02/09/2024 PRN387351
THOMAS JOSEPH SOWINSKI SR
12/08/2021 PRN39669
TIMOTHY J. STREID
09/25/2015 PRN221088
EDWARD P. WARNER
05/01/2024 PRN163041
RICHARD WILLIAM WASSON III
01/22/2024 PRN347279
ROBERT C. YORKS
12/06/2023 PRR4692
GARRETT B. YOUNG
03/21/2024 PRR223346
TROY VINCENT ZERVESKES
06/07/2016 PRN63689

Authority

Description Issue Date Termination Date Status
LIFE 03/01/1996 Active
HEALTH 03/01/1996 Active
HEALTH 01/01/1901 07/01/1995 Terminated
LIFE AND HEALTH 01/01/1901 03/01/1996 Terminated
LIFE 01/01/1901 07/01/1995 Terminated

Contacts

Type Contact
PRODUCER LICENSING CONTACT SCOTT GENTRY
SCOTT GENTRY
PO BOX 237
CINCINNATI, OH 45201-0237
Phone: +1 (513) 797-3502
Email: appointmentprocessing@ohionational.com
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

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: 05/16/2025 04:23:14 PM