DEPARTMENT OF INSURANCE

Affiliations

Name	S A S I D Inc	DOIID	648814	NAIC NPN	8665386

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/6/2018	3/31/2027
Active	Non Resident	Agent	Casualty	9/6/2018	3/31/2027
Active	Non Resident	Agent	Life	9/24/2007	3/31/2027
Active	Non Resident	Agent	Health	9/24/2007	3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	9/17/2024	12/19/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/5/2012
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/17/2024	12/19/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/28/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	1/5/2012
Active	Aetna Life Insurance Company	301140	Agent - Life	1/5/2012
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	6/21/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/15/2013	4/3/2026
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/15/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/15/2013	4/15/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/4/2024	2/16/2026
Inactive	CareSource Kentucky Co.	838179	Agent - Health	1/14/2020	12/23/2025
Active	Companion Life Insurance Company	300191	Agent - Health	8/23/2023
Active	Companion Life Insurance Company	300191	Agent - Life	8/23/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/17/2024	12/19/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/17/2024	12/19/2025
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/5/2014	6/15/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	8/5/2014	6/15/2022
Active	Everest Reinsurance Company	301836	Agent - Health	12/11/2018
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	10/20/2015
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	10/20/2015
Active	Golden Rule Insurance Company	301943	Agent - Health	7/2/2009
Active	Golden Rule Insurance Company	301943	Agent - Life	7/2/2009
Inactive	HCC Life Insurance Company	301827	Agent - Health	3/18/2015	6/20/2017
Active	Independence American Insurance Company	524747	Agent - Casualty	11/14/2023
Active	Independence American Insurance Company	524747	Agent - Property	11/14/2023
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/14/2008	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/14/2008	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/14/2008
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/14/2008
Active	LifeShield National Insurance Company	737111	Agent - Health	1/4/2019
Active	Markel Insurance Company	301475	Agent - Health	10/8/2010
Active	National Health Insurance Company	300554	Agent - Health	11/8/2018
Active	National Health Insurance Company	300554	Agent - Life	11/8/2018
Active	Nationwide Life Insurance Company	300495	Agent - Health	11/25/2020
Active	Nationwide Life Insurance Company	300495	Agent - Life	11/25/2020
Active	New York Life Insurance Company	300431	Agent - Health	7/22/2019
Active	New York Life Insurance Company	300431	Agent - Life	7/22/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/18/2016	4/10/2017
Inactive	North River Insurance Company (The)	301739	Agent - Health	1/7/2009	5/7/2025
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	11/25/2019
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	11/25/2019
Inactive	Revol One Insurance Company	300681	Agent - Health	12/3/2007	12/28/2012
Inactive	Revol One Insurance Company	300681	Agent - Life	12/3/2007	12/28/2012
Active	SilverScript Insurance Company	663526	Agent - Health	9/28/2024
Active	Standard Insurance Company	300185	Agent - Health	12/31/2024
Active	Standard Insurance Company	300185	Agent - Life	12/31/2024
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	10/25/2018	5/7/2025
Inactive	United States Fire Insurance Company	582240	Agent - Health	1/7/2009	5/7/2025
Inactive	United States Fire Insurance Company	582240	Agent - Property	10/25/2018	5/7/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/4/2024	2/16/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/11/2011	12/1/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/11/2015	10/28/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/11/2015	10/28/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/11/2011	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/13/2011	12/1/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/4/2024	2/16/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/12/2024	4/4/2026
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/12/2024	4/3/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allen, Ruark Miles	982366	Agent - Health	10/6/2021	2/24/2025
Inactive	Allen, Ruark Miles	982366	Agent - Life	10/6/2021	2/24/2025
Active	Arreguin, Patricia	897330	Agent - Casualty	9/6/2018
Active	Arreguin, Patricia	897330	Agent - Health	10/6/2021
Active	Arreguin, Patricia	897330	Agent - Life	10/6/2021
Active	Arreguin, Patricia	897330	Agent - Property	9/6/2018
Active	Bolgrihn, Kaylynn S	1004319	Agent - Health	11/19/2024
Inactive	Carman, Jacob K	1014726	Agent - Health	10/6/2021	11/11/2022
Inactive	Carman, Jacob K	1014726	Agent - Life	10/6/2021	11/7/2022
Inactive	Chojnacki, Heather	1306349	Agent - Health	10/21/2023	10/2/2025
Inactive	Gourley, Mackenzie Jean	1014946	Agent - Health	10/4/2021	2/10/2023
Inactive	Gourley, Mackenzie Jean	1014946	Agent - Life	10/4/2021	2/3/2023
Active	Guffy, Michael Ryan	889142	Agent - Casualty	1/6/2026
Active	Guffy, Michael Ryan	889142	Agent - Health	1/6/2026
Active	Guffy, Michael Ryan	889142	Agent - Life	1/6/2026
Active	Guffy, Michael Ryan	889142	Agent - Property	1/6/2026
Denied	Hills, Peter	1385514	Agent - Health
Denied	Hills, Peter	1385514	Agent - Life
Inactive	Jass, Nolan	996430	Agent - Health	10/15/2021	5/2/2024
Inactive	Jass, Nolan	996430	Agent - Life	10/15/2021	4/11/2024
Inactive	Kennedy, Shannon	539945	Agent - Health	9/24/2007	7/11/2025
Inactive	Kennedy, Shannon	539945	Agent - Life	9/24/2007	7/11/2025
Inactive	Kolenda, Courtney Lynne	1022910	Agent - Casualty	7/11/2025	12/29/2025
Inactive	Kolenda, Courtney Lynne	1022910	Agent - Health	7/11/2025	12/29/2025
Inactive	Kolenda, Courtney Lynne	1022910	Agent - Life	7/11/2025	12/29/2025
Inactive	Kolenda, Courtney Lynne	1022910	Agent - Property	7/11/2025	12/29/2025
Active	Miller, Nathan	982469	Agent - Health	10/4/2021
Active	Miller, Nathan	982469	Agent - Life	10/4/2021
Active	Timm, Laurie Lynn	897208	Agent - Health	10/4/2021
Active	Timm, Laurie Lynn	897208	Agent - Life	10/4/2021
Active	Unger, Robin M	897223	Agent - Health	10/15/2021
Active	Unger, Robin M	897223	Agent - Life	10/15/2021