DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Haas, Scott	DOIID	742575	NAIC NPN	6226160

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/17/2010		2/28/2027
Active	Non Resident	Agent	Life	11/17/2010		2/28/2027
* 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	12/15/2024	02/28/2025	01/14/2025	01/14/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Health	11/12/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/3/2010	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/3/2010	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/3/2010	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/3/2010	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Kibble & Prentice Holding Co	572325	Agent - Health
Denied	Kibble & Prentice Holding Co	572325	Agent - Life
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	12/21/2010	12/1/2016
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	12/21/2010	12/1/2016