DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kentuckiana Health Insurance Solutions, Inc.	DOIID	734058	NAIC NPN	15881189

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/9/2010	8/18/2015
Inactive	Non Resident	Agent	Health	8/9/2010	8/18/2015
* 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
Inactive	American Continental Insurance Company	643130	Agent - Health	10/5/2012	11/12/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	10/5/2012	11/12/2014
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/7/2011	8/18/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/5/2012	8/18/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/5/2012	8/18/2015
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/11/2010	8/18/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/11/2010	8/18/2015
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/29/2010	11/4/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/29/2010	8/18/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	8/18/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Roseberry, Michelle Lynn	662118	Agent - Health	8/9/2010	8/18/2015
Inactive	Roseberry, Michelle Lynn	662118	Agent - Life	8/9/2010	8/18/2015