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	3/31/2025
Active	Non Resident	Agent	Life	12/5/2013	3/31/2025
Active	Non Resident	Agent	Health	12/5/2013	3/31/2025
Withdrawn	Non Resident	Managing General Agent	Not Applicable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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2025	03/31/2025
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	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