DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Golden Years Healthcare Insurance Agency,	DOIID	1192852	NAIC NPN	20220057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/19/2024		3/31/2026
Active	Non Resident	Agent	Life	11/19/2024		3/31/2026
* 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
Inactive	Accendo Insurance Company	300312	Agent - Health	3/15/2022	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	3/15/2022	3/31/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/15/2022	3/31/2024
Active	Banner Life Insurance Company	301696	Agent - Life	3/4/2025
Active	Columbus Life Insurance Company	301227	Agent - Life	2/12/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/15/2022	3/31/2024
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	11/21/2023	3/31/2024
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	9/21/2022	3/31/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/12/2024	5/1/2024
Inactive	Tier One Insurance Company	301056	Agent - Health	2/10/2023	3/31/2024
Inactive	Tier One Insurance Company	301056	Agent - Life	2/10/2023	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hare, Destin Gabrielle	975651	Agent - Health	11/19/2024
Active	Hare, Destin Gabrielle	975651	Agent - Life	11/19/2024