DEPARTMENT OF INSURANCE

Affiliations

Name	Premier Health Solutions LLC DBA : Premierhs, Llc	DOIID	828722	NAIC NPN	17126394

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	5/8/2017	3/31/2027
Active	Non Resident	Agent	Health	12/5/2013	3/31/2027
Active	Non Resident	Agent	Life	12/5/2013	3/31/2027
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/21/2016	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/21/2016	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/21/2016	7/6/2022
Active	Amalgamated Life Insurance Company	701415	Agent - Health	4/25/2019
Active	Amalgamated Life Insurance Company	701415	Agent - Life	4/25/2019
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/21/2019
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/21/2019
Active	CareSource Kentucky Co.	838179	Agent - Health	7/15/2024
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	10/21/2016	6/15/2022
Active	Everest Reinsurance Company	301836	Agent - Health	12/12/2022
Active	Federal Insurance Company	301144	Agent - Health	10/29/2015
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	7/31/2018	9/27/2023
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	7/31/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	12/5/2013	6/23/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	12/5/2013	6/23/2017
Active	National Health Insurance Company	300554	Agent - Health	2/26/2015
Active	National Health Insurance Company	300554	Agent - Life	2/26/2015
Active	Unified Life Insurance Company	543169	Agent - Health	4/12/2017
Active	United States Fire Insurance Company	582240	Agent - Health	11/6/2019
Active	Washington National Insurance Company	300587	Agent - Health	12/29/2021
Active	Washington National Insurance Company	300587	Agent - Life	12/29/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mathew, Bejoe	746445	Agent - Health	12/5/2013	11/13/2023
Inactive	Mathew, Bejoe	746445	Agent - Life	12/5/2013	11/13/2023
Active	Wood, Brandon Michael	905015	Administrator - Not Applicable	5/8/2017
Active	Wood, Brandon Michael	905015	Agent - Health	7/9/2018
Active	Wood, Brandon Michael	905015	Agent - Life	7/9/2018