DEPARTMENT OF INSURANCE

Affiliations

Name	Bridlewood Ins Services Inc	DOIID	970662	NAIC NPN	17246527

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/3/2017	3/31/2027
Active	Non Resident	Agent	Life	10/3/2017	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	12/19/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/25/2018
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/16/2019	11/13/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/25/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	4/25/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	12/16/2019	8/11/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/14/2020	1/6/2025
Inactive	Clear Spring Health Insurance Company	301686	Agent - Health	10/12/2022	12/19/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/16/2019	11/13/2020
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/4/2024
Active	First Health Life & Health Insurance Company	301735	Agent - Health	4/25/2018
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	7/23/2021
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Active	Tier One Insurance Company	301056	Agent - Health	3/21/2025
Active	Tier One Insurance Company	301056	Agent - Life	3/21/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/3/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/3/2017	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/3/2017
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/5/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/5/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Varni, Keri Ann	865527	Agent - Health	1/20/2026
Active	Varni, Keri Ann	865527	Agent - Life	1/20/2026
Inactive	Wetzel, Jeffry James	970389	Agent - Health	10/3/2017	1/20/2026
Inactive	Wetzel, Jeffry James	970389	Agent - Life	10/3/2017	1/20/2026