DEPARTMENT OF INSURANCE

Affiliations

Name	Broker Source LLC	DOIID	1123505	NAIC NPN	8566282

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/8/2021	3/31/2025
Active	Non Resident	Agent	Health	3/8/2021	3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/7/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/15/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	4/8/2021
Active	All Savers Insurance Company	301940	Agent - Health	9/27/2022
Active	All Savers Insurance Company	301940	Agent - Life	9/27/2022
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	9/6/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/24/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	CompBenefits Insurance Company	301864	Agent - Health	6/12/2023
Active	Nationwide Life Insurance Company	300495	Agent - Health	6/28/2022
Active	Nationwide Life Insurance Company	300495	Agent - Life	6/28/2022
Active	SilverScript Insurance Company	663526	Agent - Health	3/15/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/24/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	3/29/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/24/2022	12/22/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/29/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	3/29/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/29/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	3/29/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/24/2022
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/6/2022
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	12/27/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/4/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hester, John G	775345	Agent - Health	3/8/2021
Active	Hester, John G	775345	Agent - Life	3/8/2021