DEPARTMENT OF INSURANCE

Affiliations

Name	Kentucky Ins Service & Sales Inc	DOIID	398897	NAIC NPN	7221252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	Life	1/23/2017	3/31/2022
Inactive	Resident	Agent	Property	1/23/2017	3/31/2022
Inactive	Resident	Agent	Casualty	1/23/2017	3/31/2022
Inactive	Resident	Agent	Health Maintenance Organization	3/12/1991	3/1/2001
Inactive	Resident	Agent	Health	1/23/2017	3/31/2022
* 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	Aetna Health Inc.	300694	Agent - Health	11/14/2001	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/23/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/6/1996	9/23/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/6/1996	9/23/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	11/26/1996	4/8/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/26/1996	4/8/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/16/2005	3/31/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/16/2005	3/31/2012
Inactive	American Fidelity Assurance Company	301004	Agent - Health	9/6/2002	10/28/2004
Inactive	American Fidelity Assurance Company	301004	Agent - Life	9/6/2002	10/28/2004
Inactive	American General Life Insurance Company	301585	Agent - Health	2/1/2017	1/18/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	2/1/2017	1/18/2018
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/24/2005	3/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/24/2005	3/31/2012
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	3/8/1993	10/23/2006
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	3/8/1993	10/23/2006
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	3/31/2012
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/12/1991	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2001	3/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/8/1997	3/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/8/1997	3/31/2012
Inactive	Athene Annuity and Life Company	301893	Agent - Life	6/18/2009	1/20/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/28/2007	3/31/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	5/10/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	5/10/2012
Inactive	CHA HMO, Inc.	300662	Agent - Health	9/10/2002	3/31/2012
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	8/4/1992	11/10/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	8/4/1992	11/10/2003
Inactive	Canada Life Assurance Company	301192	Agent - Health	4/25/2002	12/15/2004
Inactive	Canada Life Assurance Company	301192	Agent - Life	4/25/2002	12/15/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/28/1995	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/28/1995	4/1/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/17/2014	3/31/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/28/2009	3/31/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/28/2009	3/31/2012
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	11/24/1993	1/9/2006
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	11/24/1993	1/9/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Health	3/13/2001	5/20/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Life	3/13/2001	5/20/2009
Inactive	Continental General Insurance Company	300691	Agent - Health	10/27/1992	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Life	10/27/1992	3/31/1997
Inactive	Dental Care Plus Inc.	301495	Agent - Health	10/7/2005	3/31/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/17/2014	3/31/2016
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	10/10/1995	3/7/2011
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	10/10/1995	3/7/2011
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/8/2007	3/31/2012
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/8/2007	3/31/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/25/1997	5/10/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/25/1997	5/10/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/23/2017	3/31/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/23/2017	3/31/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/17/2014	3/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/17/2014	3/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	5/22/1992	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	8/9/2013	3/31/2016
Inactive	Humana Insurance Company	301104	Agent - Life	8/9/2013	3/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/17/2014	3/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/17/2014	3/31/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	2/23/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/20/2000	12/16/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/20/2000	12/16/2002
Inactive	Inter-State Assurance Company	301556	Agent - Life	7/9/1997	7/1/2002
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	7/9/2004	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/17/2004	7/2/2007
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/28/2003	7/12/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/28/2003	7/12/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/13/2008	3/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/17/2014	10/22/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/11/2005	5/23/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/11/2005	5/23/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/20/1998	3/31/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/20/1998	3/31/2012
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/13/1997	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/13/1997	3/12/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/13/1990	9/1/1998
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/13/1990	9/1/1998
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/10/2001	10/18/2005
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	6/18/1998	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	6/18/1998	7/31/2001
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	4/18/1994	11/30/2005
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	4/18/1994	11/30/2005
Inactive	Principal Life Insurance Company	300129	Agent - Health	7/3/2007	3/31/2012
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/3/2007	3/31/2012
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	12/21/2010
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/21/2010
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/2/2007	3/31/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/2/2007	3/31/2012
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	5/21/2003
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	2/25/1997	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	11/19/2012	3/31/2016
Inactive	Prudential Insurance Company of America	300784	Agent - Life	11/19/2012	3/31/2016
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	4/28/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	4/28/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/30/2008	8/21/2010
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/30/2008	8/21/2010
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	11/26/2002	3/31/2012
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	11/26/2002	3/31/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	9/30/2008	8/21/2010
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	9/30/2008	8/21/2010
Inactive	SeeChange Health Insurance Company	301115	Agent - Health	1/31/1994	3/31/1997
Inactive	SeeChange Health Insurance Company	301115	Agent - Life	1/31/1994	3/31/1997
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	4/27/2001	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	4/27/2001	7/18/2003
Inactive	Standard Insurance Company	300185	Agent - Health	5/28/2008	3/31/2012
Inactive	Standard Insurance Company	300185	Agent - Life	5/28/2008	3/31/2012
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/22/2009	3/31/2012
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/22/2009	3/31/2012
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	10/10/2008	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	10/10/2008	8/22/2011
Inactive	Time Insurance Company	300683	Agent - Health	3/9/1990	8/23/2001
Inactive	Time Insurance Company	300683	Agent - Life	3/9/1990	8/23/2001
Inactive	Transamerica Assurance Company	300893	Agent - Health	4/27/1995	1/20/2004
Inactive	Transamerica Assurance Company	300893	Agent - Life	4/27/1995	1/20/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	11/12/2008	3/31/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	11/12/2008	3/31/2012
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/2/2006	9/20/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/2/2007	3/31/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/2/2007	3/31/2012
Inactive	Union Security Insurance Company	301844	Agent - Health	4/18/2005	3/31/2012
Inactive	Union Security Insurance Company	301844	Agent - Life	4/18/2005	3/31/2012
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	10/20/1999	2/20/2006
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	10/20/1999	2/20/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/16/2001	3/31/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/16/2001	3/31/2012
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/27/2004	6/5/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/27/2004	6/5/2007
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/4/2001	3/31/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/20/2005	3/31/2012
Inactive	West Coast Life Insurance Company	301607	Agent - Health	12/13/2005	12/13/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/13/2005	12/13/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/15/1999	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/15/1999	12/31/2001
Inactive	Buren, Denise D	336513	Agent - Casualty	1/23/2017	3/31/2022
Inactive	Buren, Denise D	336513	Agent - Health	1/23/2017	3/31/2022
Inactive	Buren, Denise D	336513	Agent - Life	1/23/2017	3/31/2022
Denied	Buren, Denise D	336513	Agent - Personal Lines
Inactive	Buren, Denise D	336513	Agent - Property	1/23/2017	3/31/2022
Denied	Buren, Tanya Marie	575091	Agent - Health
Denied	Buren, Tanya Marie	575091	Agent - Life
Inactive	Dean, Carolyn Joan	375320	Agent - Health	9/4/1996	2/26/2003
Inactive	Dean, Carolyn Joan	375320	Agent - Life	9/4/1996	2/26/2003
Inactive	Dehner, Dave Daniel	343593	Agent - Health	2/13/1990	10/31/2010
Inactive	Dehner, Dave Daniel	343593	Agent - Life	2/13/1990	10/31/2010
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	12/31/2001
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	8/9/1999	3/1/2001
Inactive	Dieter, Matt S	582652	Agent - Health	2/2/2007	1/31/2011
Inactive	Dieter, Matt S	582652	Agent - Life	2/2/2007	1/31/2011
Inactive	Fox, Kevin Mclean	549325	Agent - Health	8/12/2002	9/30/2006
Inactive	Fox, Kevin Mclean	549325	Agent - Life	8/12/2002	9/30/2006
Inactive	Medlink Inc	400721	Agent - Health	11/4/1991	12/31/2001
Inactive	Medlink Inc	400721	Agent - Life	11/4/1991	12/31/2001
Inactive	Replogle, Cordell D	652553	Agent - Health	12/3/2007	1/1/2011
Inactive	Replogle, Cordell D	652553	Agent - Life	12/3/2007	1/1/2011