DEPARTMENT OF INSURANCE
Affiliations
NameLacy, Ross CDOIID830854NAIC NPN17001680
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife1/7/20149/30/2022 
InactiveNon ResidentAgentHealth1/7/20149/30/2022 
* 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 - Health9/10/20211/25/2022
InactiveAccendo Insurance Company300312Agent - Life6/10/20201/25/2022
InactiveAetna Health Inc. (PA)660717Agent - Health10/2/20189/30/2022
InactiveAetna Health and Life Insurance Company300523Agent - Health7/23/20191/25/2022
InactiveAetna Health of Ohio Inc.1065035Agent - Health8/21/20207/5/2022
InactiveAetna Life Insurance Company301140Agent - Health10/2/20189/30/2022
InactiveAetna Life Insurance Company301140Agent - Life10/2/20189/30/2022
InactiveAmerican Continental Insurance Company643130Agent - Life7/23/201911/11/2021
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/2/201812/19/2018
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/2/201812/19/2018
InactiveAmerican General Life Insurance Company301585Agent - Health1/16/201410/11/2016
InactiveAmerican General Life Insurance Company301585Agent - Life1/16/201410/11/2016
InactiveAmeritas Life Insurance Corporation300126Agent - Health12/31/20169/30/2022
InactiveAmeritas Life Insurance Corporation300126Agent - Life12/31/20169/30/2022
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/7/20212/11/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/20212/11/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/20212/11/2022
InactiveAnthem Life Insurance Company301209Agent - Health7/20/20212/11/2022
InactiveAnthem Life Insurance Company301209Agent - Life7/20/20212/11/2022
InactiveCapitol Life Insurance Company301514Agent - Health8/1/20201/23/2022
InactiveChesapeake Life Insurance Company (The)301017Agent - Health4/13/202012/9/2021
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/26/20212/11/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/29/20191/25/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life7/28/20211/25/2022
InactiveFirst Health Life & Health Insurance Company301735Agent - Health10/2/20187/5/2022
InactiveGPM Health and Life Insurance Company927255Agent - Health10/15/20197/15/2022
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/16/201410/17/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/16/201410/17/2016
InactiveGlobe Life and Accident Insurance Company300639Agent - Health1/16/20143/17/2016
InactiveGlobe Life and Accident Insurance Company300639Agent - Life1/16/20143/17/2016
InactiveGolden Rule Insurance Company301943Agent - Health11/22/20171/26/2019
InactiveGolden Rule Insurance Company301943Agent - Life11/22/20171/26/2019
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/25/20176/8/2018
InactiveHumana Health Plan, Inc.300142Agent - Health4/25/20176/8/2018
InactiveHumana Insurance Company301104Agent - Health4/25/20176/8/2018
InactiveHumana Insurance Company301104Agent - Life4/25/20176/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health4/25/20176/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life4/25/20176/8/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health4/25/20176/8/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/25/20176/8/2018
InactiveLumico Life Insurance Company300354Agent - Health10/10/20193/22/2022
InactiveManhattanLife Insurance and Annuity Company301795Agent - Health12/29/20169/30/2022
InactiveMutual of Omaha Insurance Company301012Agent - Health5/9/20198/1/2020
InactivePruco Life Insurance Company300954Agent - Life9/8/20143/23/2016
InactivePuritan Life Insurance Company of America301892Agent - Health11/22/20198/8/2022
InactiveSecurity Life Insurance Company of America300936Agent - Health8/10/201612/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life8/10/201612/31/2016
InactiveSilverScript Insurance Company663526Agent - Health8/23/20197/5/2022
InactiveTransamerica Life Insurance Company300571Agent - Health2/28/201910/1/2019
InactiveTransamerica Life Insurance Company300571Agent - Life2/28/201910/1/2019
InactiveUnion Security Insurance Company301844Agent - Health7/1/20219/30/2022
InactiveUnited World Life Insurance Company300532Agent - Health1/14/202010/31/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/9/20198/1/2020
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/9/20198/1/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/10/20201/20/2022
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health4/7/20211/20/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/7/202112/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/7/20211/20/2022
InactiveWellCare Prescription Insurance Inc.654329Agent - Health11/26/20219/30/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealth Plan Intermediaries Holdings786463Agent - Health7/23/20184/22/2022
InactiveSelectQuote Insurance Services533194Agent - Life6/25/20189/30/2022
InactiveSelectQuote Insurance Services533194Agent - Health6/25/20189/30/2022
InactiveSpring Ins Solutions LLC788951Agent - Life11/20/20191/24/2022
InactiveSpring Ins Solutions LLC788951Agent - Health11/20/20191/24/2022

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