DEPARTMENT OF INSURANCE

Affiliations

Name	First Insurance Group Bluegrass, Inc.	DOIID	927686	NAIC NPN	18098975

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/6/2016	3/31/2022
Inactive	Resident	Agent	Life	9/6/2016	3/31/2022
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2018	3/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/9/2018	3/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/9/2018	3/31/2022
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/6/2016	3/31/2022
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/6/2016	3/31/2022
Inactive	American United Life Insurance Company	300498	Agent - Health	11/15/2016	4/28/2021
Inactive	American United Life Insurance Company	300498	Agent - Life	11/15/2016	4/28/2021
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	7/31/2019	8/17/2020
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	7/31/2019	8/17/2020
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/23/2017	3/31/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/28/2017	2/22/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/28/2017	2/22/2022
Inactive	Companion Life Insurance Company	300191	Agent - Health	8/15/2019	3/31/2022
Inactive	Companion Life Insurance Company	300191	Agent - Life	8/15/2019	3/31/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/9/2018	3/31/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	2/6/2018	3/31/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	2/6/2018	3/31/2022
Inactive	Grange Life Insurance Company	300128	Agent - Health	12/14/2016	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/14/2016	3/31/2021
Inactive	National Health Insurance Company	300554	Agent - Health	3/17/2017	3/31/2022
Inactive	Time Insurance Company	300683	Agent - Health	3/17/2017	9/17/2020
Inactive	Time Insurance Company	300683	Agent - Life	3/17/2017	9/17/2020
Inactive	Trustmark Insurance Company	300317	Agent - Health	8/6/2019	3/31/2022
Inactive	Trustmark Insurance Company	300317	Agent - Life	8/6/2019	3/31/2022
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	6/29/2017	3/31/2022
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	6/29/2017	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bow, Larry D	323886	Agent - Health	9/12/2016	3/31/2022
Inactive	Bow, Larry D	323886	Agent - Life	9/12/2016	3/31/2022
Inactive	Bow, Linda Gayle	522645	Agent - Health	9/12/2016	3/31/2022
Inactive	Bow, Linda Gayle	522645	Agent - Life	9/12/2016	3/31/2022
Inactive	Burkett, Anita Aaron	357418	Agent - Health	9/12/2016	3/31/2022
Inactive	Burkett, Anita Aaron	357418	Agent - Life	9/12/2016	3/31/2022
Inactive	Patterson, Barbara Ann	333470	Agent - Health	9/12/2016	4/29/2020
Inactive	Patterson, Barbara Ann	333470	Agent - Life	9/12/2016	4/29/2020
Inactive	Patterson, Danny A	356025	Agent - Health	9/6/2016	4/29/2020
Inactive	Patterson, Danny A	356025	Agent - Life	9/6/2016	4/29/2020