DEPARTMENT OF INSURANCE

Affiliations

Name	Blue Chip Consortium Llc The	DOIID	1157211	NAIC NPN	3214317

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/8/2021	3/31/2027
Active	Non Resident	Agent	Health	9/8/2021	3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	8/11/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/13/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/27/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/13/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/27/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/27/2022
Active	All Savers Insurance Company	301940	Agent - Health	9/27/2022
Active	All Savers Insurance Company	301940	Agent - Life	9/27/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/21/2023
Inactive	Clear Spring Health Insurance Company	301686	Agent - Health	10/5/2022	12/19/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/13/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/13/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/11/2024
Inactive	Elips Life Insurance Company	301087	Agent - Health	9/13/2023	9/18/2024
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	10/7/2022	12/24/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	10/4/2022	12/14/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	10/4/2022	12/14/2022
Active	Insurance Company of North America	300226	Agent - Health	11/30/2025
Active	Nationwide Life Insurance Company	300495	Agent - Health	9/29/2022
Active	Nationwide Life Insurance Company	300495	Agent - Life	9/29/2022
Active	SilverScript Insurance Company	663526	Agent - Health	7/27/2022
Active	Tier One Insurance Company	301056	Agent - Health	9/14/2023
Active	Tier One Insurance Company	301056	Agent - Life	9/14/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/16/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/16/2021
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/29/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/19/2024	5/19/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/21/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/15/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/15/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Pfeifer, Ross	1157248	Agent - Health	9/8/2021
Active	Pfeifer, Ross	1157248	Agent - Life	9/8/2021