DEPARTMENT OF INSURANCE

Affiliations

Name	Consolidated Healthcare Solutions LLC	DOIID	714019	NAIC NPN	11784788

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	7/5/2011	3/31/2025
Active	Non Resident	Agent	Life	6/29/2011	3/31/2025
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/27/2015
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/27/2015
Active	Aetna Life Insurance Company	301140	Agent - Life	5/27/2015
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/15/2011
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/17/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	7/15/2011
Active	Anthem Life Insurance Company	301209	Agent - Life	7/15/2011
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/23/2020
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/24/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/11/2012	3/14/2019
Active	CompBenefits Insurance Company	301864	Agent - Health	3/4/2021
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/25/2021
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	7/18/2012	11/8/2023
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	7/18/2012	11/8/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Coventry Health and Life Insurance Company	301771	Agent - Health	9/11/2014
Active	Dental Concern Inc. (The)	301641	Agent - Health	12/11/2012
Active	First Health Life & Health Insurance Company	301735	Agent - Health	10/11/2011
Inactive	Forethought Life Insurance Company	301407	Agent - Health	10/17/2011	1/6/2015
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/17/2011	1/6/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/21/2009	3/31/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/21/2009	3/31/2011
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/1/2017
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/19/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/11/2012
Active	Humana Insurance Company	301104	Agent - Health	12/11/2012
Active	Humana Insurance Company	301104	Agent - Life	12/11/2012
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	12/11/2012
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	12/11/2012
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	12/1/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/11/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/11/2012	10/22/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/2/2012	6/24/2013
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	1/19/2011	3/31/2011
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	1/19/2011	3/31/2011
Inactive	Omaha Insurance Company	751908	Agent - Health	8/2/2012	6/24/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/8/2011	11/5/2011
Inactive	Reserve National Insurance Company	301073	Agent - Health	1/31/2013	2/24/2014
Inactive	Reserve National Insurance Company	301073	Agent - Life	1/31/2013	2/24/2014
Active	SilverScript Insurance Company	663526	Agent - Health	10/16/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/2/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/2/2012	6/24/2013
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/24/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/8/2011	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/24/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/8/2020	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/11/2018	12/29/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Bickham, Barbara	642101	Agent - Health
Denied	Bickham, Barbara	642101	Agent - Life
Active	Boemker, Luke William	588692	Agent - Health	7/12/2011
Active	Boemker, Luke William	588692	Agent - Life	7/12/2011
Inactive	Ellis, Joseph Franklin	653653	Agent - Health	7/12/2011	11/1/2023
Inactive	Ellis, Joseph Franklin	653653	Agent - Life	7/12/2011	11/1/2023
Active	Gregory, Michael Edward	308298	Agent - Health	7/12/2011
Active	Gregory, Michael Edward	308298	Agent - Life	7/12/2011
Active	Hartmann, Kathy A	378729	Agent - Health	7/12/2011
Active	Hartmann, Kathy A	378729	Agent - Life	7/12/2011
Inactive	Hite, Ted Leroy	515709	Agent - Health	7/12/2011	2/1/2018
Inactive	Hite, Ted Leroy	515709	Agent - Life	7/12/2011	2/1/2018
Active	Laine, Jerad Michael	690653	Agent - Health	1/31/2012
Active	Laine, Jerad Michael	690653	Agent - Life	1/31/2012
Active	Laine, Michael J	337705	Agent - Health	7/5/2011
Active	Laine, Michael J	337705	Agent - Life	6/29/2011
Inactive	Lawall, Michael B	553147	Agent - Health	7/12/2011	9/30/2013
Inactive	Lawall, Michael B	553147	Agent - Life	7/12/2011	9/30/2013
Active	Ledden, Pamela Jean	630124	Agent - Health	7/12/2011
Active	Ledden, Pamela Jean	630124	Agent - Life	7/12/2011
Inactive	Milheim, Robert Porter	666394	Agent - Health	8/12/2011	9/13/2013
Inactive	Milheim, Robert Porter	666394	Agent - Life	8/12/2011	12/17/2012
Active	Prevett, Kenneth Ray	391713	Agent - Health	7/12/2011
Active	Prevett, Kenneth Ray	391713	Agent - Life	7/12/2011
Inactive	Smith, Troy Carson	345123	Agent - Health	7/5/2011	3/30/2015
Inactive	Smith, Troy Carson	345123	Agent - Life	6/30/2011	3/30/2015
Active	Wallace, David Marcus	615757	Agent - Health	7/12/2011
Active	Wallace, David Marcus	615757	Agent - Life	7/12/2011
Active	Wallace, Jonathan David	769662	Agent - Health	12/21/2011
Active	Wallace, Paula Parks	762543	Agent - Health	10/17/2011
Active	Wallace, Paula Parks	762543	Agent - Life	10/17/2011