DEPARTMENT OF INSURANCE

Affiliations

Name	National Employer Solutions Team LLC	DOIID	757783	NAIC NPN	16286072

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	8/5/2011	3/31/2025
Active	Resident	Agent	Health	8/5/2011	3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/16/2013	4/24/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/16/2013	4/24/2017
Active	All Savers Insurance Company	301940	Agent - Health	1/17/2023
Active	All Savers Insurance Company	301940	Agent - Life	1/17/2023
Active	American United Life Insurance Company	300498	Agent - Health	1/13/2016
Active	American United Life Insurance Company	300498	Agent - Life	1/13/2016
Active	Banner Life Insurance Company	301696	Agent - Life	4/6/2017
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/24/2016	12/27/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	11/8/2016	12/27/2022
Active	Cigna National Health Insurance Company	300235	Agent - Health	1/5/2023
Active	Combined Insurance Company of America	301472	Agent - Health	5/10/2023
Active	Combined Insurance Company of America	301472	Agent - Life	5/10/2023
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/16/2013	4/24/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	12/16/2013	4/24/2017
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/22/2016	6/4/2018
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	2/17/2015
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	2/17/2015
Inactive	Grange Life Insurance Company	300128	Agent - Health	3/21/2014	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	3/21/2014	3/31/2021
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	3/3/2014	10/29/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/7/2019	10/11/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/7/2019	10/11/2019
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	5/22/2020	12/22/2020
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	5/22/2020	12/22/2020
Active	Minnesota Life Insurance Company	300488	Agent - Health	4/21/2022
Active	Minnesota Life Insurance Company	300488	Agent - Life	4/21/2022
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/7/2016	4/12/2018
Active	Principal National Life Insurance Company	301926	Agent - Life	9/6/2017
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/21/2017	11/25/2020
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	2/17/2015
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	2/17/2015
Active	Standard Insurance Company	300185	Agent - Health	6/23/2016
Active	Standard Insurance Company	300185	Agent - Life	6/23/2016
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/24/2017
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	8/24/2017
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/24/2017
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/1/2023
Active	Washington National Insurance Company	300587	Agent - Health	8/10/2011
Active	Washington National Insurance Company	300587	Agent - Life	8/10/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Deatherage, Gerald Holton	391645	Agent - Health	8/5/2011
Active	Deatherage, Gerald Holton	391645	Agent - Life	8/5/2011