DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Legacy Brokers LLC	DOIID	1044694	NAIC NPN	17333758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/21/2019		3/31/2025
Active	Non Resident	Agent	Health	6/21/2019		3/31/2025
* 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
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/27/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	4/27/2022
Active	All Savers Insurance Company	301940	Agent - Health	7/31/2019
Active	All Savers Insurance Company	301940	Agent - Life	7/31/2019
Active	American National Life Insurance Company of Texas	300912	Agent - Health	2/24/2022
Active	Dental Concern Inc. (The)	301641	Agent - Health	6/2/2021
Active	Humana Health Plan, Inc.	300142	Agent - Health	1/27/2020
Active	Humana Insurance Company	301104	Agent - Health	6/2/2021
Inactive	Humana Insurance Company	301104	Agent - Life	7/1/2019	12/19/2019
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	6/2/2021
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	6/2/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/24/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	6/24/2019
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/2/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	6/24/2019
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/24/2019
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	6/24/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Powers, Jason A	1044644	Agent - Health	6/21/2019
Active	Powers, Jason A	1044644	Agent - Life	6/21/2019