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	License Expiration Date
Active	Non Resident	Agent	Life	6/21/2019	3/31/2027
Active	Non Resident	Agent	Health	6/21/2019	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
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
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	2/24/2022	2/10/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/2/2021	12/12/2024
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	9/3/2024
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	9/3/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/27/2020	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	6/2/2021	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	7/1/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/2/2021	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/2/2021	12/12/2024
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	12/19/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/21/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/21/2025
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/2/2023	12/17/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	6/24/2019	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/24/2019	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	6/24/2019	12/17/2024

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