DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Health And Life Assoc LLC	DOIID	872474	NAIC NPN	17393708

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/20/2017		3/31/2027
Active	Non Resident	Agent	Health	2/20/2017		3/31/2027
* 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	AXA XL Insurance Company Americas	300979	Agent - Health	10/8/2015	11/28/2016
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	11/29/2022
Inactive	Federal Insurance Company	301144	Agent - Health	6/20/2019	11/7/2021
Inactive	Great Western Insurance Company	501693	Agent - Life	10/24/2022	9/12/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/24/2022	11/29/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/24/2022	11/29/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/24/2022	11/29/2022
Active	Washington National Insurance Company	300587	Agent - Health	12/3/2019
Active	Washington National Insurance Company	300587	Agent - Life	12/3/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/25/2022	5/29/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/25/2022	6/1/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ripple, John	805736	Agent - Health	2/20/2017
Active	Ripple, John	805736	Agent - Life	2/20/2017