DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Leslie Lynn	DOIID	609159	NAIC NPN	8471481

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	5/24/2005	11/30/2025
Active	Resident	Agent	Life	5/24/2005	11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/24/2005	6/10/2009
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/24/2005	6/10/2009
Active	American Heritage Life Insurance Company	300272	Agent - Health	4/11/2007
Active	American Heritage Life Insurance Company	300272	Agent - Life	4/11/2007
Inactive	American United Life Insurance Company	300498	Agent - Health	9/17/2014	9/29/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	9/17/2014	9/29/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/20/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/20/2013	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/14/2015	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/6/2010	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/6/2010	6/26/2013
Active	Continental American Insurance Company	301700	Agent - Health	12/1/2010
Active	Continental American Insurance Company	301700	Agent - Life	12/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/17/2018	4/9/2019
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	12/8/2009
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	12/8/2009
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/25/2018
Active	Guardian Life Insurance Company of America	301316	Agent - Life	9/25/2018
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/17/2011
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/17/2011
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/15/2018	4/9/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Insurance Company	301104	Agent - Health	6/12/2009	4/9/2019
Inactive	Humana Insurance Company	301104	Agent - Life	6/12/2009	4/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/17/2018	4/9/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/17/2018	4/9/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/17/2018	4/9/2019
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/12/2009	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/12/2009	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/16/2016	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/16/2016	1/22/2018
Active	Pan-American Life Insurance Company	301530	Agent - Health	10/2/2009
Active	Pan-American Life Insurance Company	301530	Agent - Life	10/2/2009
Active	Trustmark Insurance Company	300317	Agent - Health	8/14/2008
Active	Trustmark Insurance Company	300317	Agent - Life	8/14/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/5/2013	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/5/2013	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/5/2013	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/5/2013	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners NL, LLC	762387	Agent - Life	2/27/2013
Active	Assuredpartners NL, LLC	762387	Agent - Health	2/27/2013
Inactive	Brown & Brown Of Kentucky Inc	580592	Agent - Life	11/30/2005	2/12/2014
Inactive	Brown & Brown Of Kentucky Inc	580592	Agent - Health	11/30/2005	2/12/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	10/20/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	10/20/2013