DEPARTMENT OF INSURANCE

Name	Bluegrass Health Solutions, LLC	DOIID	1091148	NAIC NPN	19590213

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Resident	Agent	Health	7/28/2020		3/31/2026
Active	Resident	Agent	Life	7/28/2020		3/31/2026

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	4528 Longbridge Lane Lexington, KY 40515

Internet Information

Type	Address
Business Email	davidpotterins@icloud.com

Phone Information

Type	Phone
Business / Home Office	(859) 806-2338