DEPARTMENT OF INSURANCE

Affiliations

Name	Lacy, Ross C	DOIID	830854	NAIC NPN	17001680

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/7/2014	9/30/2022
Inactive	Non Resident	Agent	Health	1/7/2014	9/30/2022
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	1/25/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	1/25/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/2/2018	9/30/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/23/2019	1/25/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/21/2020	7/5/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/2/2018	9/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/2/2018	9/30/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	7/23/2019	11/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/2/2018	12/19/2018
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/2/2018	12/19/2018
Inactive	American General Life Insurance Company	301585	Agent - Health	1/16/2014	10/11/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	1/16/2014	10/11/2016
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/31/2016	9/30/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	12/31/2016	9/30/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/7/2021	2/11/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	2/11/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	2/11/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/20/2021	2/11/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/20/2021	2/11/2022
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	1/23/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/13/2020	12/9/2021
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	2/11/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/29/2019	1/25/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/28/2021	1/25/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/2/2018	7/5/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	10/15/2019	7/15/2022
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/16/2014	10/17/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/16/2014	10/17/2016
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	1/16/2014	3/17/2016
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	1/16/2014	3/17/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/22/2017	1/26/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/22/2017	1/26/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/25/2017	6/8/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/25/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/25/2017	6/8/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/25/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/25/2017	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/25/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/25/2017	6/8/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/25/2017	6/8/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	10/10/2019	3/22/2022
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	12/29/2016	9/30/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/9/2019	8/1/2020
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/8/2014	3/23/2016
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	11/22/2019	8/8/2022
Inactive	Security Life Insurance Company of America	300936	Agent - Health	8/10/2016	12/31/2016
Inactive	Security Life Insurance Company of America	300936	Agent - Life	8/10/2016	12/31/2016
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	7/5/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/28/2019	10/1/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/28/2019	10/1/2019
Inactive	Union Security Insurance Company	301844	Agent - Health	7/1/2021	9/30/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	1/14/2020	10/31/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/9/2019	8/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/9/2019	8/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/10/2020	1/20/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	4/7/2021	1/20/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/7/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/7/2021	1/20/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/26/2021	9/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/23/2018	4/22/2022
Inactive	SelectQuote Insurance Services	533194	Agent - Life	6/25/2018	9/30/2022
Inactive	SelectQuote Insurance Services	533194	Agent - Health	6/25/2018	9/30/2022
Inactive	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019	1/24/2022
Inactive	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019	1/24/2022