DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Retirement Solutions Inc DBA : Legacy Planning & Insurance Services	DOIID	797359	NAIC NPN	7523479

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/15/2012	1/1/2016
Inactive	Non Resident	Agent	Health	11/15/2012	1/1/2016
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	5/23/2014	12/5/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/23/2014	12/5/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/23/2014	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/23/2014	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	5/23/2014	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	5/23/2014	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/23/2014	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/23/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/23/2014	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/23/2014	12/5/2014
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	3/17/2014	10/29/2015
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	1/14/2013	12/19/2014
Inactive	Time Insurance Company	300683	Agent - Health	5/29/2014	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	5/29/2014	12/20/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/15/2012	1/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/15/2012	1/1/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015	1/1/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Armstrong, Todd D	627227	Agent - Health	11/15/2012	10/31/2015
Inactive	Armstrong, Todd D	627227	Agent - Life	11/13/2012	10/31/2015