DEPARTMENT OF INSURANCE

Affiliations

Name	Benefit Co	DOIID	977604	NAIC NPN	18553875

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/27/2017	3/31/2027
Active	Non Resident	Agent	Life	11/27/2017	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	Accendo Insurance Company	300312	Agent - Health	9/26/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	9/26/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/26/2022
Active	American Heritage Life Insurance Company	300272	Agent - Health	12/20/2017
Active	American Heritage Life Insurance Company	300272	Agent - Life	12/20/2017
Active	CareSource Kentucky Co.	838179	Agent - Health	11/11/2021
Active	Companion Life Insurance Company	300191	Agent - Health	5/14/2019
Active	Companion Life Insurance Company	300191	Agent - Life	5/14/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/26/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/26/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/26/2018	4/29/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/11/2017	4/29/2019
Inactive	Humana Insurance Company	301104	Agent - Health	12/11/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	12/11/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/11/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/11/2017	6/15/2018
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/28/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/28/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	1/8/2018
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	1/8/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	1/8/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Life	1/8/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/14/2018	5/31/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/14/2018	5/31/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/14/2018	5/31/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/14/2018	5/31/2019
Active	Vision Service Plan Insurance Company	300526	Agent - Health	9/28/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Manion, John J	509516	Agent - Health	10/12/2020
Active	Manion, John J	509516	Agent - Life	10/12/2020
Inactive	Manion, Kimra G	911679	Agent - Health	11/27/2017	7/31/2020
Inactive	Manion, Kimra G	911679	Agent - Life	11/27/2017	7/31/2020