DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Boost Health Insurance Agency Llc	DOIID	1139073	NAIC NPN	19924550

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/11/2021		3/31/2027
Active	Non Resident	Agent	Life	6/11/2021		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
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	8/3/2025
Active	Tier One Insurance Company	301056	Agent - Health	4/10/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fales, Emery Louis	983428	Agent - Health	6/11/2021
Active	Fales, Emery Louis	983428	Agent - Life	6/11/2021