DEPARTMENT OF INSURANCE
Affiliations
NameTransitions RbgDOIID1185997NAIC NPN17104748
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife8/28/2023 3/31/2028
ActiveNon ResidentAgentHealth2/2/2022 3/31/2028
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health2/22/202311/17/2023
ActiveAetna Health Inc. (PA)660717Agent - Health2/17/2023 
InactiveAetna Health and Life Insurance Company300523Agent - Health2/22/202312/19/2025
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/17/2023 
ActiveAetna Life Insurance Company301140Agent - Health2/17/2023 
ActiveAmeritas Life Insurance Corporation300126Agent - Health2/27/2023 
ActiveCHA HMO, Inc.300662Agent - Health8/4/2025 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health6/28/2023 
InactiveClear Spring Health Insurance Company301686Agent - Health10/5/202212/19/2024
ActiveCompBenefits Insurance Company301864Agent - Health12/31/2024 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health2/22/202312/19/2025
ActiveDental Concern Inc. (The)301641Agent - Health4/28/2025 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health10/16/2025 
ActiveHumana Insurance Company301104Agent - Health11/11/2024 
InactiveLasso Healthcare Insurance Company1022651Agent - Health6/26/202312/22/2023
ActiveMedco Containment Life Insurance Company301557Agent - Health11/19/2024 
ActiveMedico Corp Life Insurance Company301777Agent - Health4/14/2026 
ActiveMedico Corp Life Insurance Company301777Agent - Life4/14/2026 
ActiveSilverScript Insurance Company663526Agent - Health2/17/2023 
ActiveTier One Insurance Company301056Agent - Health10/10/2023 
ActiveTier One Insurance Company301056Agent - Life10/10/2023 
ActiveUnitedHealthcare Insurance Company300946Agent - Health6/28/2023 
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/28/2023 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/8/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/8/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBennett, Burton E 1018360Agent - Health3/7/2025 
ActiveBennett, Burton E 1018360Agent - Life5/27/2025 
InactiveJetter, William P 995045Agent - Health6/28/20239/24/2025
InactiveJetter, William P 995045Agent - Life8/28/20239/24/2025
ActiveMiller, Jayson Andrew 678614Agent - Health10/18/2023 
ActiveMiller, Jayson Andrew 678614Agent - Life10/18/2023 
ActiveReece, Erica Whitney 1294799Agent - Health10/18/2023 
DeniedReece, Erica Whitney 1294799Agent - Life  
InactiveSmith, Cambria Mize 765584Agent - Health2/2/20228/31/2025

© Commonwealth of Kentucky. All rights reserved.