PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBroad Street Brokerage Insurance Agency, LLCDOIID540067NAIC NPN5698361
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife1/3/200211/8/2024 
InactiveNon ResidentAgentHealth1/3/200211/8/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAF&L Insurance Company301582Agent - Health4/29/20025/20/2003
InactiveAetna Health Inc.300694Agent - Health9/1/200612/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20076/30/2022
InactiveAetna Life Insurance Company301140Agent - Health9/1/20066/30/2022
InactiveAetna Life Insurance Company301140Agent - Life9/1/20066/30/2022
InactiveAmerican General Life Insurance Company301585Agent - Health8/22/200811/9/2012
InactiveAmerican General Life Insurance Company301585Agent - Life8/22/200811/9/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Health5/3/20116/28/2013
InactiveAmerican Heritage Life Insurance Company300272Agent - Life5/3/20116/28/2013
InactiveAmerican National Insurance Company301861Agent - Health1/19/20125/26/2021
InactiveAmerican National Insurance Company301861Agent - Life1/19/20124/26/2024
InactiveAnnuity Investors Life Insurance Company300715Agent - Health2/1/20109/29/2011
InactiveAnnuity Investors Life Insurance Company300715Agent - Life2/1/20109/29/2011
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/22/200211/21/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health5/22/200210/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health5/22/200211/21/2024
InactiveAnthem Life Insurance Company301209Agent - Life5/22/200211/21/2024
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life8/4/20045/8/2013
InactiveBanner Life Insurance Company301696Agent - Life7/30/200711/8/2024
InactiveBerkshire Life Insurance Company of America300983Agent - Health9/18/20149/24/2018
InactiveBerkshire Life Insurance Company of America300983Agent - Life9/18/20149/24/2018
InactiveColumbian Life Insurance Company300810Agent - Life9/26/20167/9/2024
InactiveCompBenefits Dental, Inc.591692Agent - Health2/24/200912/5/2014
InactiveCompBenefits Insurance Company301864Agent - Health2/24/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life2/24/20097/2/2013
InactiveConnecticut General Life Insurance Company301333Agent - Health12/15/20096/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life12/15/20096/11/2014
InactiveDental Concern Inc. (The)301641Agent - Health6/21/20105/2/2016
InactiveEmpower Annuity Insurance Company of America300259Agent - Health12/15/20091/3/2012
InactiveEmpower Annuity Insurance Company of America300259Agent - Life12/15/20091/3/2012
InactiveEncova Life Insurance Company301818Agent - Health1/3/20021/1/2024
InactiveEncova Life Insurance Company301818Agent - Life1/3/20021/1/2024
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health11/20/20033/14/2012
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life11/20/20033/14/2012
InactiveGenworth Life Insurance Company300623Agent - Health2/7/200812/3/2019
InactiveGenworth Life Insurance Company300623Agent - Life2/7/200812/3/2019
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health8/22/200712/22/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life8/22/200712/22/2016
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life12/27/200510/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Health2/28/200510/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life2/28/200510/5/2021
InactiveHartford Life and Accident Insurance Company300878Agent - Health5/5/201011/8/2024
InactiveHartford Life and Accident Insurance Company300878Agent - Life5/5/201011/8/2024
InactiveHumana Health Plan, Inc.300142Agent - Health12/11/200812/5/2014
InactiveHumana Insurance Company301104Agent - Health12/11/200812/8/2015
InactiveHumana Insurance Company301104Agent - Life12/11/200812/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/8/20115/2/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/8/20115/2/2016
InactiveHumanaDental Insurance Company301457Agent - Health7/8/20115/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life7/8/20115/13/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health3/10/20082/29/2016
InactiveIllinois Mutual Life Insurance Company301479Agent - Life3/10/20082/29/2016
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health12/5/20067/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life12/5/20067/2/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Health4/1/200512/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life4/1/200512/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/200811/8/2024
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/200811/8/2024
InactiveKanawha Insurance Company300127Agent - Health12/11/200812/5/2014
InactiveKanawha Insurance Company300127Agent - Life12/11/200812/5/2014
InactiveLafayette Life Insurance Company (The)301039Agent - Health9/2/20031/5/2007
InactiveLafayette Life Insurance Company (The)301039Agent - Life9/2/20031/5/2007
InactiveLife Insurance Company of North America300711Agent - Health12/15/200911/8/2024
InactiveLife Insurance Company of North America300711Agent - Life12/15/200911/8/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/29/20076/24/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/29/20076/24/2024
InactiveLoyal American Life Insurance Company301172Agent - Health2/1/20106/28/2010
InactiveLoyal American Life Insurance Company301172Agent - Life2/1/20106/28/2010
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health2/1/201012/5/2011
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life2/1/201012/5/2011
InactiveMetLife Investors USA Insurance Company300845Agent - Health2/13/200911/20/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life2/13/200911/20/2009
InactiveMutual of Omaha Insurance Company301012Agent - Health6/10/20029/23/2003
InactiveNational Western Life Insurance Company301515Agent - Life1/13/20133/28/2014
InactivePan-American Life Insurance Company301530Agent - Health1/1/202411/8/2024
InactivePan-American Life Insurance Company301530Agent - Life1/1/202411/8/2024
InactivePaul Revere Life Insurance Company300971Agent - Health10/4/201611/8/2024
InactivePaul Revere Life Insurance Company300971Agent - Life10/4/201611/8/2024
InactivePhysicians Life Insurance Company300924Agent - Health3/1/200512/14/2006
InactivePhysicians Life Insurance Company300924Agent - Life3/1/200512/14/2006
InactivePhysicians Mutual Insurance Company301084Agent - Health3/1/200512/15/2006
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/4/201611/30/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/4/201611/30/2023
InactivePruco Life Insurance Company300954Agent - Health1/26/200412/17/2004
InactivePruco Life Insurance Company300954Agent - Life1/26/200412/17/2004
InactiveReassure America Life Insurance Company301902Agent - Health5/23/20029/3/2004
InactiveReassure America Life Insurance Company301902Agent - Life5/23/20029/3/2004
InactiveReliaStar Life Insurance Company301712Agent - Health9/3/200910/5/2012
InactiveReliaStar Life Insurance Company301712Agent - Life9/3/200910/5/2012
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health7/2/200310/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life7/2/200310/1/2003
InactiveStandard Insurance Company300185Agent - Health4/15/200511/8/2024
InactiveStandard Insurance Company300185Agent - Life4/15/200511/8/2024
InactiveStarmount Life Insurance Company628031Agent - Health8/27/202011/30/2023
InactiveSun Life Assurance Company of Canada301811Agent - Health3/10/200811/3/2009
InactiveSun Life Assurance Company of Canada301811Agent - Life3/10/200811/3/2009
InactiveU.S. Financial Life Insurance Company301812Agent - Life9/6/20069/17/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health10/4/201611/30/2023
InactiveUNUM Life Insurance Company of America300817Agent - Life10/4/201611/30/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Health1/23/20124/8/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Life7/6/20054/28/2014
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/6/20054/28/2014
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health1/23/20124/8/2014
InactiveUnum Insurance Company301499Agent - Health8/27/202011/30/2023
InactiveUnum Insurance Company301499Agent - Life8/27/202011/30/2023
InactiveWellpoint Life and Health Insurance Company300469Agent - Health7/31/200612/3/2010
InactiveWellpoint Life and Health Insurance Company300469Agent - Life7/31/200612/3/2010
InactiveWestern National Life Insurance Company300461Agent - Life6/26/20035/19/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBellamy, Roger Dale 330329Agent - Health9/21/200511/1/2009
InactiveBellamy, Roger Dale 330329Agent - Life9/21/200511/1/2009
InactiveBishop, John J 539860Agent - Health1/3/200210/31/2006
InactiveBishop, John J 539860Agent - Life1/3/200210/31/2006
InactiveBoden, Brent 676495Agent - Health3/25/20103/1/2024
InactiveBoden, Brent 676495Agent - Life3/25/20103/1/2024
InactiveBradley, Gena M 335642Agent - Health4/28/200611/8/2024
InactiveBradley, Gena M 335642Agent - Life1/19/200511/8/2024
DeniedButt, Larry James 320248Agent - Health  
InactiveButt, Larry James 320248Agent - Life7/26/201112/1/2012
InactiveChelf, Floyd Nelson 360429Agent - Health4/21/20088/1/2015
InactiveChelf, Floyd Nelson 360429Agent - Life4/21/20088/1/2015
InactiveClements, Gerald W 308331Agent - Health4/11/20123/31/2021
InactiveClements, Gerald W 308331Agent - Life4/11/201212/28/2020
DeniedColeman, Kristen Elizabeth 571296Agent - Health  
InactiveColeman, Kristen Elizabeth 571296Agent - Life4/28/20069/1/2016
InactiveComerford, Jill 826773Agent - Health12/6/20137/31/2017
InactiveComerford, Jill 826773Agent - Life12/6/20137/31/2017
InactiveDanner, Virginia J 551883Agent - Health10/21/200911/8/2024
InactiveDanner, Virginia J 551883Agent - Life10/21/200911/8/2024
InactiveDavis, William Curtis 364748Agent - Health7/25/201111/8/2024
InactiveDavis, William Curtis 364748Agent - Life7/25/201111/8/2024
InactiveDewitt, Benjamin Morris 588388Agent - Health1/19/200511/8/2024
InactiveDewitt, Benjamin Morris 588388Agent - Life1/19/200511/8/2024
InactiveDills, Charles Edward 361995Agent - Health6/14/20077/2/2014
InactiveDills, Charles Edward 361995Agent - Life6/14/20077/2/2014
InactiveDills, Karen Kay 361249Agent - Health7/25/200711/8/2024
InactiveDills, Karen Kay 361249Agent - Life7/25/200711/8/2024
InactiveDodson, Douglas L 540079Agent - Health1/3/200211/30/2007
InactiveDodson, Douglas L 540079Agent - Life1/3/200211/30/2007
InactiveElder, Jason L 307099Agent - Health1/19/20054/1/2017
InactiveElder, Jason L 307099Agent - Life1/19/20054/1/2017
InactiveFolley, Marcia Kathleen 310687Agent - Health7/14/20044/1/2019
InactiveFolley, Marcia Kathleen 310687Agent - Life7/14/200412/29/2011
InactiveFrisbey, Ralph Michael 383887Agent - Health8/22/20064/3/2009
InactiveFrisbey, Ralph Michael 383887Agent - Life8/22/20064/3/2009
InactiveFrizzell, Donald Joe 370423Agent - Health2/6/200810/1/2023
InactiveFrizzell, Donald Joe 370423Agent - Life2/6/200810/1/2023
InactiveFrizzell, Trent Donald 602995Agent - Health2/6/20086/1/2012
InactiveFrizzell, Trent Donald 602995Agent - Life2/6/20086/1/2012
InactiveGoe, Robert Colin 381525Agent - Health3/26/201212/31/2015
InactiveGoe, Robert Colin 381525Agent - Life3/26/201212/31/2015
InactiveGomez, Carmen Milagros 1299630Agent - Health3/20/202411/8/2024
InactiveGomez, Carmen Milagros 1299630Agent - Life3/20/202411/8/2024
InactiveGronefeld, Paul Edward 306192Agent - Health12/13/20074/30/2020
InactiveGronefeld, Paul Edward 306192Agent - Life12/13/20074/30/2020
InactiveHall, George Duane 365425Agent - Health6/14/20071/1/2020
InactiveHall, George Duane 365425Agent - Life6/14/20071/1/2020
InactiveHoffman, Lloyd Kenneth 385879Agent - Health1/12/20113/1/2022
InactiveHoffman, Lloyd Kenneth 385879Agent - Life1/12/20113/1/2022
InactiveHoffman, Richard Dean 348036Agent - Health8/22/200611/8/2024
InactiveHoffman, Richard Dean 348036Agent - Life8/22/200611/8/2024
InactiveHouse, Brandon A 556056Agent - Health11/2/200611/8/2024
InactiveHouse, Brandon A 556056Agent - Life11/2/200611/8/2024
InactiveHouse, Danny Russell 350809Agent - Health4/11/20076/30/2020
InactiveHouse, Danny Russell 350809Agent - Life4/11/20076/30/2020
InactiveJohnson, Brandi Jil 620404Agent - Health10/14/200811/8/2024
InactiveJohnson, Brandi Jil 620404Agent - Life10/14/200811/8/2024
InactiveKettenacker, Herb 344808Agent - Health8/10/200911/8/2024
InactiveKettenacker, Herb 344808Agent - Life8/10/200911/8/2024
InactiveKibler, James E 358016Agent - Life3/24/20143/20/2024
InactiveLambert, Frances Smith 353310Agent - Health10/11/20117/1/2013
InactiveLambert, Frances Smith 353310Agent - Life10/11/20117/1/2013
InactiveLykins, Alice 383327Agent - Health4/18/20084/1/2015
InactiveLykins, Alice 383327Agent - Life3/5/20084/1/2015
InactiveLykins, Donald Ray 383788Agent - Health1/19/200511/8/2024
InactiveLykins, Donald Ray 383788Agent - Life1/19/200511/8/2024
InactiveMaupin, Joseph John 359096Agent - Health12/17/200710/1/2011
InactiveMaupin, Joseph John 359096Agent - Life12/17/200710/1/2011
InactiveMcCarty, Ryan William 509976Agent - Health8/14/200911/8/2024
InactiveMcCarty, Ryan William 509976Agent - Life8/14/200911/8/2024
InactiveMcVeigh, Deborah Rae 335137Agent - Health1/19/20058/1/2022
InactiveMcVeigh, Deborah Rae 335137Agent - Life1/19/20058/1/2022
InactiveMichaelides, Gale M 705237Agent - Health11/15/20105/31/2016
InactiveMichaelides, Gale M 705237Agent - Life11/15/20105/31/2016
InactiveMorgan, Dedria Lane 353403Agent - Health3/17/201011/8/2024
InactiveMorgan, Dedria Lane 353403Agent - Life3/17/201011/8/2024
InactiveNeely, Danny Steele 661089Agent - Health3/15/201011/8/2024
InactiveNeely, Danny Steele 661089Agent - Life3/15/201011/8/2024
InactiveParks, Gary R 371614Agent - Health11/9/200911/7/2011
InactiveParks, Gary R 371614Agent - Life11/9/20098/31/2021
InactivePartin, Kelly 327295Agent - Health10/8/200711/8/2024
InactivePartin, Kelly 327295Agent - Life10/8/200711/8/2024
InactiveRalston, Jenny S 380175Agent - Health2/6/20088/31/2008
InactiveRalston, Jenny S 380175Agent - Life2/6/20088/31/2008
InactiveRankin, Michele Shryock 637778Agent - Health6/6/20088/1/2011
InactiveRankin, Michele Shryock 637778Agent - Life6/6/20088/1/2011
InactiveRitchie, Mark A 567125Agent - Health2/25/20044/30/2012
InactiveRitchie, Mark A 567125Agent - Life2/25/20044/30/2012
InactiveScudder, Douglas Ray 348382Agent - Health5/8/20122/28/2021
InactiveScudder, Douglas Ray 348382Agent - Life5/8/20122/28/2021
InactiveSheeran, Stephen Gregory 345367Agent - Health6/18/20089/15/2020
InactiveSheeran, Stephen Gregory 345367Agent - Life6/18/200811/8/2024
InactiveShryock, Elaine Cynthia 388148Agent - Health2/6/20082/1/2019
InactiveShryock, Elaine Cynthia 388148Agent - Life2/6/20082/1/2019
InactiveSowell, Bobby R 602534Agent - Health11/2/200611/30/2007
InactiveSowell, Bobby R 602534Agent - Life11/2/200611/30/2007
InactiveStoddard, Charles W 316319Agent - Health3/5/20086/18/2008
InactiveStoddard, Charles W 316319Agent - Life3/5/20086/18/2008
InactiveThompson, Ronald Gene 336566Agent - Health6/14/20073/19/2013
InactiveThompson, Ronald Gene 336566Agent - Life6/14/20073/19/2013
InactiveTurner, Harvey Amos 391206Agent - Health12/10/200711/8/2024
InactiveTurner, Harvey Amos 391206Agent - Life12/10/200711/8/2024
InactiveTurner, Jacqueline 826781Agent - Health12/6/20139/30/2020
InactiveTurner, Jacqueline 826781Agent - Life12/6/20139/30/2020
InactiveVancil, Rodney Dean 306467Agent - Health1/19/200511/8/2024
InactiveVancil, Rodney Dean 306467Agent - Life1/19/200511/8/2024
InactiveWalker, Michael D 355946Agent - Health9/12/200711/8/2024
InactiveWalker, Michael D 355946Agent - Life9/12/200711/8/2024
InactiveWatts, Richard Allen 336200Agent - Health5/21/20072/28/2009
InactiveWatts, Richard Allen 336200Agent - Life5/21/20072/28/2009
InactiveWatts, Richard Michael 308664Agent - Health9/18/20076/29/2021
InactiveWatts, Richard Michael 308664Agent - Life9/10/200711/8/2024
InactiveWidger, Esther Faye 328683Agent - Health6/18/20087/31/2012
InactiveWidger, Esther Faye 328683Agent - Life6/18/20087/31/2012
InactiveWilson, Judith Lynn 592973Agent - Health9/5/200811/8/2024
InactiveWilson, Judith Lynn 592973Agent - Life9/5/200811/8/2024
InactiveWright, Robert Andrew 350248Agent - Health11/2/202010/1/2022
InactiveWright, Robert Andrew 350248Agent - Life3/10/200810/1/2022

© Commonwealth of Kentucky. All rights reserved.