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	Life	11/27/2017	3/31/2027
Active	Non Resident	Agent	Health	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/30/2025	01/30/2025	Yes

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