DEPARTMENT OF INSURANCE
Affiliations
NameLegacy Planning And Solutions LLCDOIID809055NAIC NPN16953040
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentCasualty   
DeniedResidentAgentProperty   
InactiveResidentAgentHealth5/3/20133/31/2025 
InactiveResidentAgentLife5/3/20133/31/2025 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health3/9/20213/31/2025
InactiveAccendo Insurance Company300312Agent - Life3/9/20219/6/2024
InactiveAetna Health and Life Insurance Company300523Agent - Health3/1/20219/6/2024
InactiveAetna Health and Life Insurance Company300523Agent - Life3/1/20213/31/2025
InactiveAmerican Benefit Life Insurance Company301002Agent - Life7/17/20173/31/2025
InactiveAmerican Continental Insurance Company643130Agent - Health3/9/20218/10/2021
InactiveAmerican Continental Insurance Company643130Agent - Life3/9/20218/11/2021
InactiveAmerican National Insurance Company301861Agent - Life5/19/20223/31/2025
InactiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life6/24/20233/31/2025
InactiveAssurity Life Insurance Company301099Agent - Health6/16/20213/31/2025
InactiveAssurity Life Insurance Company301099Agent - Life6/16/20213/31/2025
InactiveBanner Life Insurance Company301696Agent - Life6/26/20213/31/2025
InactiveColumbian Life Insurance Company300810Agent - Life1/15/20198/26/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/9/20219/6/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/9/20219/6/2024
InactiveDental Concern Inc. (The)301641Agent - Health8/11/20177/11/2019
InactiveEquiTrust Life Insurance Company502870Agent - Life2/14/20203/31/2025
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/2/20193/31/2025
InactiveForethought Life Insurance Company301407Agent - Health10/31/20183/31/2025
InactiveForethought Life Insurance Company301407Agent - Life10/31/20183/31/2025
InactiveGerber Life Insurance Company300529Agent - Health11/1/20213/31/2025
InactiveGerber Life Insurance Company300529Agent - Life11/1/20213/31/2025
InactiveHomesteaders Life Company300836Agent - Life12/27/20177/13/2020
InactiveHumana Insurance Company301104Agent - Health8/11/20177/11/2019
InactiveHumana Insurance Company301104Agent - Life8/11/20177/11/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/11/20176/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/11/20176/15/2018
InactiveIndependent Order of Foresters300743Agent - Life12/29/202012/29/2021
InactiveKanawha Insurance Company300127Agent - Health8/11/201712/8/2017
InactiveKanawha Insurance Company300127Agent - Life8/11/201712/8/2017
InactiveKentucky Funeral Directors Life Insurance Company532905Agent - Life3/4/20233/31/2025
InactiveLiberty Bankers Life Insurance Company542461Agent - Life12/1/20223/31/2025
InactiveLife Insurance Company of the Southwest301867Agent - Health10/9/20183/31/2025
InactiveLife Insurance Company of the Southwest301867Agent - Life10/9/20183/31/2025
InactiveLincoln National Life Insurance Company (The)301382Agent - Health12/10/20187/26/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Life12/10/20187/26/2024
InactiveNational Guardian Life Insurance Company300596Agent - Life12/30/20163/31/2025
InactiveNational Life Insurance Company301852Agent - Health11/2/20183/31/2025
InactiveNational Life Insurance Company301852Agent - Life11/2/20183/31/2025
InactiveNational Western Life Insurance Company301515Agent - Life6/13/20193/31/2025
InactiveNorth American Company for Life and Health Insurance300291Agent - Life4/12/20203/31/2025
InactivePioneer American Insurance Company301268Agent - Life12/5/20233/31/2025
InactiveSouthern Financial Life Insurance Company300664Agent - Life10/1/20174/17/2025
InactiveTier One Insurance Company301056Agent - Health10/24/20223/31/2025
InactiveTier One Insurance Company301056Agent - Life8/17/20223/31/2025
InactiveTransamerica Life Insurance Company300571Agent - Health12/5/20173/31/2025
InactiveTransamerica Life Insurance Company300571Agent - Life12/5/20173/31/2025
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/11/201910/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/11/201910/1/2020
InactiveUnified Life Insurance Company543169Agent - Health6/23/201712/28/2018
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/5/20174/2/2019
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health10/5/201712/20/2018
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/5/20173/29/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveClemens, Carolyn Noreen 364335Agent - Health5/3/20133/31/2025
InactiveClemens, Carolyn Noreen 364335Agent - Life5/3/20133/31/2025
DeniedClemens, Randall Fredrick 665366Agent - Casualty  
InactiveClemens, Randall Fredrick 665366Agent - Health5/3/201310/1/2022
InactiveClemens, Randall Fredrick 665366Agent - Life5/3/201310/1/2022
DeniedClemens, Randall Fredrick 665366Agent - Property  
InactiveDickerson, Sandra Kathalean 356831Agent - Health5/3/20136/1/2014
InactiveDickerson, Sandra Kathalean 356831Agent - Life5/3/20136/1/2014
DeniedSimmons, Jason Joseph 715883Agent - Health  
DeniedSimmons, Jason Joseph 715883Agent - Life  

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