DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Boothby, Brian	DOIID	922232	NAIC NPN	17902033

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/14/2021		7/31/2025
Active	Non Resident	Agent	Health	5/14/2021		7/31/2025
* 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	BCS Insurance Company	300294	Agent - Health	8/30/2016	7/31/2017
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/27/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	5/27/2021
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/27/2021
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Lifetime Benefit Solutions, Inc.	574373	Agent - Life
Inactive	Lifetime Benefit Solutions, Inc.	574373	Agent - Health	8/30/2016	7/31/2017
Active	Paychex Insurance Agency Inc	509469	Agent - Life	6/1/2021
Active	Paychex Insurance Agency Inc	509469	Agent - Health	6/1/2021