DEPARTMENT OF INSURANCE

Affiliations

Name	Luckey Insurance Group, LLC	DOIID	879049	NAIC NPN	17601189

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	5/28/2015	3/31/2017
Inactive	Resident	Agent	Life	5/28/2015	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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/2/2015	3/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/2/2015	3/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/2/2015	3/31/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	10/7/2015	3/31/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/31/2015	12/13/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/31/2015	12/13/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/31/2015	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/31/2015	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/31/2015	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Health	8/31/2015	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Life	8/31/2015	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/31/2015	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/31/2015	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/31/2015	12/13/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/31/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/31/2015	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	8/6/2015	10/29/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/23/2015	12/2/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/23/2015	12/2/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/23/2015	3/31/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/23/2015	3/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Luckey, Kaitlin Diane	884673	Agent - Health	9/29/2015	3/31/2017
Inactive	Spoelker, Chelsea Luckey	757633	Agent - Health	5/28/2015	3/31/2017
Inactive	Spoelker, Chelsea Luckey	757633	Agent - Life	5/28/2015	3/31/2017