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.

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
Inactive	All Savers Insurance Company	301940	Agent - Health	3/19/2019	6/2/2025
Inactive	All Savers Insurance Company	301940	Agent - Life	3/19/2019	6/2/2025
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
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/17/2023	5/19/2025
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