DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	UBA Senior Health LLC	DOIID	1412987	NAIC NPN	21627521

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/29/2025		3/31/2027
Active	Non Resident	Agent	Health	7/29/2025		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	Accendo Insurance Company	300312	Agent - Life	10/11/2025
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/11/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/2/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	8/2/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/11/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/11/2025
Active	SilverScript Insurance Company	663526	Agent - Health	8/2/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/1/2025
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/1/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Riesberg, Jeffrey Paul	1198210	Agent - Health	7/29/2025
Active	Riesberg, Jeffrey Paul	1198210	Agent - Life	7/29/2025