DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Memberfy LLC	DOIID	1181944	NAIC NPN	20070245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/13/2022		3/31/2026
Active	Non Resident	Agent	Life	1/13/2022		3/31/2026
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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	6/10/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	6/10/2025
Active	All Savers Insurance Company	301940	Agent - Health	9/2/2022
Active	All Savers Insurance Company	301940	Agent - Life	9/2/2022
Active	AmFirst Insurance Company	999525	Agent - Health	7/13/2023
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/19/2025
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/19/2025
Active	Dental Concern Inc. (The)	301641	Agent - Health	5/8/2025
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/23/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/23/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/31/2022	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	5/8/2025
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	5/8/2025
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	5/8/2025
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	9/12/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/2/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/2/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/2/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/2/2022	12/17/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dixon, Theresa E	1045959	Agent - Health	5/28/2025
Active	Dixon, Theresa E	1045959	Agent - Life	5/28/2025
Active	Eastman, Scott Brick	1018774	Agent - Health	1/13/2022
Active	Eastman, Scott Brick	1018774	Agent - Life	1/13/2022