DEPARTMENT OF INSURANCE

Affiliations

Name	Impact Insurance Agency LLC	DOIID	1303946	NAIC NPN	20654167

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/9/2023	3/31/2027
Active	Non Resident	Agent	Health	10/9/2023	3/31/2027
Denied	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/28/2025	01/28/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	10/25/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/17/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/20/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/17/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/17/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/9/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/9/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/9/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/9/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/9/2023	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/9/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	12/4/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/15/2024	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/15/2024	1/6/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/9/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/20/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/20/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	4/10/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/25/2024	9/13/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/7/2025
Active	Pacific Life Insurance Company	301848	Agent - Health	2/19/2025
Active	Pacific Life Insurance Company	301848	Agent - Life	2/19/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/17/2023
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/22/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/22/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/9/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/9/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/14/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/14/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Johnson, Cheryl Lynn	960095	Agent - Health	10/9/2023
Active	Johnson, Cheryl Lynn	960095	Agent - Life	10/9/2023