DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bluegrass Health Solutions, LLC	DOIID	1091148	NAIC NPN	19590213

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	7/28/2020		3/31/2026
Active	Resident	Agent	Life	7/28/2020		3/31/2026
* 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	8/25/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	8/25/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/16/2020
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/6/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Active	SilverScript Insurance Company	663526	Agent - Health	8/25/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/30/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/30/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/30/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/30/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Potter, David A	817992	Agent - Health	7/28/2020
Active	Potter, David A	817992	Agent - Life	7/28/2020