DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ameragroup Services Inc	DOIID	791766	NAIC NPN	15657270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/10/2016	3/31/2018
Inactive	Non Resident	Agent	Life	6/10/2016	3/31/2018
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/2/2015	3/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/2/2015	3/31/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/2/2015	3/31/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/24/2012	11/9/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/24/2012	11/9/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	1/10/2017	3/31/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	1/10/2017	3/31/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/4/2017	3/31/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/4/2017	3/31/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/6/2012	3/31/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/6/2012	3/31/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/6/2012	3/31/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/6/2012	3/31/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burghardt, Matthew J	791008	Agent - Health	6/10/2016	3/31/2018
Inactive	Burghardt, Matthew J	791008	Agent - Life	6/10/2016	3/31/2018