DEPARTMENT OF INSURANCE

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.

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	1/2/2024
Active	Anthem Life Insurance Company	301209	Agent - Health	1/2/2024
Active	Anthem Life Insurance Company	301209	Agent - Life	1/2/2024
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/19/2021
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	7/19/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	7/12/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	7/12/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/16/2024
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
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	12/28/2021
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	12/28/2021