DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Golden Years Healthcare Insurance Agency,	DOIID	1192852	NAIC NPN	20220057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/19/2024		3/31/2026
Active	Non Resident	Agent	Life	11/19/2024		3/31/2026
* 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
Inactive	Accendo Insurance Company	300312	Agent - Health	3/15/2022	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	3/15/2022	3/31/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/15/2022	3/31/2024
Active	Banner Life Insurance Company	301696	Agent - Life	3/4/2025
Active	Columbus Life Insurance Company	301227	Agent - Life	2/12/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/15/2022	3/31/2024
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	11/21/2023	3/31/2024
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	9/21/2022	3/31/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/12/2024	5/1/2024
Inactive	Tier One Insurance Company	301056	Agent - Health	2/10/2023	3/31/2024
Inactive	Tier One Insurance Company	301056	Agent - Life	2/10/2023	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hare, Destin Gabrielle	975651	Agent - Health	11/19/2024
Active	Hare, Destin Gabrielle	975651	Agent - Life	11/19/2024