DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Financial Advisor Benefits	DOIID	862208	NAIC NPN	17222512

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/29/2014		3/31/2026
Active	Non Resident	Agent	Health	11/29/2014		3/31/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/9/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/9/2016	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/9/2016	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/1/2015	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/1/2015	12/8/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/1/2015	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/1/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/5/2016	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Health	1/23/2016	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Life	4/1/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/1/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/1/2015	12/8/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/1/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/1/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/1/2015	10/22/2015
Active	Standard Insurance Company	300185	Agent - Health	11/6/2024
Active	Standard Insurance Company	300185	Agent - Life	11/6/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brewster, Leah C	861073	Agent - Health	11/29/2014	1/31/2018
Inactive	Brewster, Leah C	861073	Agent - Life	11/29/2014	1/31/2018
Active	Kellar, Kyle	861248	Agent - Health	4/10/2018
Active	Kellar, Kyle	861248	Agent - Life	4/10/2018