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	Health	9/24/2007	3/31/2027
Active	Non Resident	Agent	Life	9/24/2007	3/31/2027
Active	Non Resident	Agent	Property	9/6/2018	3/31/2027
Active	Non Resident	Agent	Casualty	9/6/2018	3/31/2027
* 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	9/17/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/5/2012
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/17/2024
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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/15/2013
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
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	11/4/2024
Active	CareSource Kentucky Co.	838179	Agent - Health	1/14/2020
Active	Companion Life Insurance Company	300191	Agent - Health	8/23/2023
Active	Companion Life Insurance Company	300191	Agent - Life	8/23/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/17/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/17/2024
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
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/4/2024
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
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/4/2024
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/12/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/12/2024

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
Active	Chojnacki, Heather	1306349	Agent - Health	10/21/2023
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
Pending	Hills, Peter	1385514	Agent - Health
Pending	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
Active	Kennedy, Shannon	539945	Agent - Health	9/24/2007
Active	Kennedy, Shannon	539945	Agent - Life	9/24/2007
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