DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brougham, Lucas Benedict	DOIID	1140949	NAIC NPN	19560569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/22/2021		5/31/2025
Active	Non Resident	Agent	Life	6/22/2021		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/2/2024	12/11/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/2/2024	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/2/2024	4/15/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/19/2021	2/18/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/19/2021	2/18/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/12/2021	12/3/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/12/2021	12/3/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/16/2024	12/11/2024
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/7/2021	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/28/2021	1/14/2025
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/28/2021	1/14/2025