DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Heritage Insurance Agency, LLC	DOIID	1031276	NAIC NPN	18525579

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	3/5/2019	3/31/2027
Active	Non Resident	Agent	Life	3/5/2019	3/31/2027
* 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	01/15/2025	03/31/2025	01/30/2025	01/30/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	8/12/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/13/2019	8/12/2023
Active	All Savers Insurance Company	301940	Agent - Health	3/19/2019
Active	All Savers Insurance Company	301940	Agent - Life	3/19/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	6/13/2019	8/11/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/5/2019
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/5/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/13/2019	8/12/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/21/2021	12/12/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/21/2021	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	4/21/2021	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/21/2021	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/21/2021	12/12/2024
Active	Principal Life Insurance Company	300129	Agent - Health	12/7/2020
Active	Principal Life Insurance Company	300129	Agent - Life	12/7/2020
Inactive	Standard Insurance Company	300185	Agent - Health	3/18/2019	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	3/18/2019	12/5/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/15/2024	2/23/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/17/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/15/2024	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/1/2023	12/17/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2022	6/1/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022	5/29/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	4/20/2021
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	4/20/2021
Inactive	Parker, William L	511526	Agent - Health	3/5/2019	1/31/2021
Inactive	Parker, William L	511526	Agent - Life	3/5/2019	1/31/2021
Inactive	Sanders, William Michael	618228	Agent - Health	12/10/2020	2/16/2021
Inactive	Sanders, William Michael	618228	Agent - Life	12/10/2020	2/16/2021