DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	National United Brokers Inc	DOIID	625347	NAIC NPN	2438567

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/4/2019		3/31/2026
Active	Non Resident	Agent	Health	12/4/2019		3/31/2026
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc.	300694	Agent - Health	8/15/2006	12/31/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/15/2006	3/31/2008
Active	CareSource Kentucky Co.	838179	Agent - Health	3/5/2020
Active	SilverScript Insurance Company	663526	Agent - Health	5/21/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/8/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ayers, Randolph J	303833	Agent - Health	12/4/2019
Active	Ayers, Randolph J	303833	Agent - Life	12/4/2019