DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Advanced Insurance Brokerage	DOIID	1048599	NAIC NPN	16108067

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/4/2022		3/31/2027
Active	Non Resident	Agent	Life	4/4/2022		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	Ameritas Life Insurance Corporation	300126	Agent - Health	7/20/2023
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Health	10/30/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2022	5/25/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022	5/25/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	McKinnon, Eric C	700316	Agent - Health	4/4/2022
Active	McKinnon, Eric C	700316	Agent - Life	4/4/2022
Active	Sahebzamani, David H	801938	Agent - Health	4/4/2022
Active	Sahebzamani, David H	801938	Agent - Life	4/4/2022