DEPARTMENT OF INSURANCE

Affiliations

Name	My Usa Health	DOIID	1058210	NAIC NPN	18995013

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/27/2019	3/31/2027
Active	Non Resident	Agent	Health	9/27/2019	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	Accendo Insurance Company	300312	Agent - Life	9/2/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/7/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/2/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/7/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	5/7/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/3/2023	11/15/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2019	12/16/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CareSource Kentucky Co.	838179	Agent - Health	10/31/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021	12/16/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/2/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/2/2021
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/25/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/31/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/7/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/9/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/9/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/9/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/9/2021
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/22/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/22/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Grider, Jerry Dean	1022272	Agent - Health	9/27/2019
Active	Grider, Jerry Dean	1022272	Agent - Life	9/27/2019