DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Memberfy LLC	DOIID	1181944	NAIC NPN	20070245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/13/2022		3/31/2026
Active	Non Resident	Agent	Life	1/13/2022		3/31/2026
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/10/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	6/10/2025
Active	All Savers Insurance Company	301940	Agent - Health	9/2/2022
Active	All Savers Insurance Company	301940	Agent - Life	9/2/2022
Active	AmFirst Insurance Company	999525	Agent - Health	7/13/2023
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/19/2025
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/19/2025
Active	Dental Concern Inc. (The)	301641	Agent - Health	5/8/2025
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/23/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/23/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/31/2022	12/12/2024
Active	Humana Insurance Company	301104	Agent - Health	5/8/2025
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	5/8/2025
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	5/8/2025
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	9/12/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/2/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/2/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/2/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/2/2022	12/17/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dixon, Theresa E	1045959	Agent - Health	5/28/2025
Active	Dixon, Theresa E	1045959	Agent - Life	5/28/2025
Active	Eastman, Scott Brick	1018774	Agent - Health	1/13/2022
Active	Eastman, Scott Brick	1018774	Agent - Life	1/13/2022