DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baerson, Adrienne Elaine	DOIID	1054219	NAIC NPN	17763685

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/31/2019		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	12/18/2019	12/14/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/9/2019	7/1/2024
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/19/2020	12/12/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	9/22/2020	5/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/10/2020	8/15/2022