DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fletcher, Scott J	DOIID	570310	NAIC NPN	7127367

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/18/2017		3/31/2025
Active	Non Resident	Agent	Life	8/18/2017		3/31/2025
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Principal Life Insurance Company	300129	Agent - Health	7/17/2018
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/9/2009	4/4/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/15/2020	6/1/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/15/2020	6/1/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2020	6/1/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/15/2020	6/1/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acrisure LLC	696181	Agent - Health	5/19/2020
Inactive	Disability Specialist Inc	604106	Agent - Health	7/11/2018	11/19/2021
Inactive	Disability Specialist Inc	604106	Agent - Life	7/11/2018	6/1/2021