DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bluegrass Risk Management	DOIID	866891	NAIC NPN	17485214

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/6/2017	3/1/2018
Inactive	Resident	Agent	Health	3/5/2015	3/31/2017
* 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	Banner Life Insurance Company	301696	Agent - Life	2/27/2015	3/31/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/21/2015	3/31/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/21/2015	3/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hopkins, John Hagler	629506	Agent - Health	3/5/2015	10/1/2016
Inactive	Hopkins, John Hagler	629506	Agent - Life	2/18/2015	10/1/2016
Inactive	Howard, Charla	866181	Agent - Health	3/5/2015	3/31/2017
Inactive	Howard, Charla	866181	Agent - Life	6/6/2017	1/1/2018