DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Digital Solutions, LLC	DOIID	1247078	NAIC NPN	20561239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/15/2022	3/31/2026
Active	Non Resident	Agent	Property	12/15/2022	3/31/2026
Active	Non Resident	Agent	Health	12/15/2022	3/31/2026
Active	Non Resident	Agent	Life	12/15/2022	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/5/2023	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
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	4/1/2024
Active	All Savers Insurance Company	301940	Agent - Life	4/1/2024
Active	American Economy Insurance Company	300315	Agent - Casualty	3/31/2025
Active	American Economy Insurance Company	300315	Agent - Property	3/31/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/26/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/26/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/26/2024	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/26/2024	4/15/2025
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/26/2024
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/26/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/26/2024
Active	Dental Concern Inc. (The)	301641	Agent - Health	9/13/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Health	7/25/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Life	7/25/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/11/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/11/2024
Active	Humana Insurance Company	301104	Agent - Health	9/13/2024
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	9/13/2024
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	9/13/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/6/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/6/2024
Active	Principal Life Insurance Company	300129	Agent - Health	2/29/2024
Active	Principal Life Insurance Company	300129	Agent - Life	2/29/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/4/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/4/2024
Active	Standard Insurance Company	300185	Agent - Health	1/24/2025
Active	Standard Insurance Company	300185	Agent - Life	1/24/2025
Active	United Concordia Insurance Company	903543	Agent - Health	5/22/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	11/4/2024
Active	United Financial Casualty Company	301886	Agent - Property	11/4/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/1/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/1/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/1/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	4/1/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/1/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	4/1/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allocco, Matthew	1272659	Agent - Casualty	1/29/2025
Active	Allocco, Matthew	1272659	Agent - Property	1/29/2025
Pending	Barrett, Myka Kristian	1394484	Agent - Casualty
Active	Barrett, Myka Kristian	1394484	Agent - Health	5/28/2025
Pending	Barrett, Myka Kristian	1394484	Agent - Life
Pending	Barrett, Myka Kristian	1394484	Agent - Property
Active	Batt, Derek Michael	941564	Agent - Casualty	5/28/2025
Active	Batt, Derek Michael	941564	Agent - Property	5/28/2025
Active	Batt, Drew	1259049	Agent - Casualty	5/27/2025
Active	Batt, Drew	1259049	Agent - Property	5/27/2025
Denied	Batt, Jerry J	516007	Agent - Life
Active	Brunney, Mackenzie	1327679	Agent - Casualty	2/28/2025
Active	Brunney, Mackenzie	1327679	Agent - Property	2/28/2025
Denied	Castillo, Kiana	1236050	Agent - Casualty
Denied	Castillo, Kiana	1236050	Agent - Life
Denied	Castillo, Kiana	1236050	Agent - Property
Active	Cathell, Cynthia	1356482	Agent - Casualty	11/4/2024
Active	Cathell, Cynthia	1356482	Agent - Property	11/4/2024
Pending	Cerami, Nicholas	1389791	Agent - Casualty
Pending	Cerami, Nicholas	1389791	Agent - Property
Active	Creef, Bernard	899785	Agent - Casualty	2/3/2025
Active	Creef, Bernard	899785	Agent - Property	2/3/2025
Denied	Cruz, Miguel Angel	1207984	Agent - Health
Active	Davis, Dominic	1307342	Agent - Casualty	5/27/2025
Active	Davis, Dominic	1307342	Agent - Property	5/27/2025
Active	De Los Rios, Austin	1117338	Agent - Health	1/27/2025
Pending	Eleby, Jordan	1371824	Agent - Casualty
Pending	Eleby, Jordan	1371824	Agent - Property
Active	Ferguson, Sharon Renee	1216802	Agent - Health	8/15/2024
Active	Frerichs, Terry L	365335	Agent - Casualty	10/17/2024
Active	Frerichs, Terry L	365335	Agent - Health	10/17/2024
Active	Frerichs, Terry L	365335	Agent - Life	10/17/2024
Active	Frerichs, Terry L	365335	Agent - Property	10/17/2024
Pending	Gilroy, Jennifer	1138130	Agent - Casualty
Pending	Gilroy, Jennifer	1138130	Agent - Property
Active	Gum, Brandon	1362012	Agent - Casualty	4/25/2025
Active	Gum, Brandon	1362012	Agent - Property	4/25/2025
Denied	Halstead, Karyn Marie	1359238	Agent - Casualty
Denied	Halstead, Karyn Marie	1359238	Agent - Health
Denied	Halstead, Karyn Marie	1359238	Agent - Life
Denied	Halstead, Karyn Marie	1359238	Agent - Property
Denied	House, Kelly W	1362831	Agent - Casualty
Denied	House, Kelly W	1362831	Agent - Property
Active	Jenkins, Dana	1272682	Agent - Casualty	4/15/2025
Active	Jenkins, Dana	1272682	Agent - Property	4/15/2025
Active	Jenkins, Ethan	1306533	Agent - Casualty	4/21/2025
Active	Jenkins, Ethan	1306533	Agent - Property	4/21/2025
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	12/15/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	12/15/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	12/15/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	12/15/2022
Active	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	1/5/2023
Active	Lelio, Brian	792667	Agent - Health	3/6/2024
Active	Lelio, Brian	792667	Agent - Life	3/6/2024
Active	Lueb, Bethany	1196609	Agent - Health	8/16/2024
Active	Lueb, Bethany	1196609	Agent - Life	8/16/2024
Pending	Martin, Kathryn Linda	1390961	Agent - Casualty
Pending	Martin, Kathryn Linda	1390961	Agent - Property
Active	Mask, Angela Christine	878825	Agent - Casualty	1/27/2025
Active	Mask, Angela Christine	878825	Agent - Property	1/27/2025
Active	Mccarthy, Matthew William	1280188	Agent - Casualty	4/21/2025
Active	Mccarthy, Matthew William	1280188	Agent - Property	4/21/2025
Active	Mcewan, Ashley Renae	976330	Agent - Casualty	8/16/2024
Active	Mcewan, Ashley Renae	976330	Agent - Property	8/16/2024
Pending	Mcfall, Bethany	1173387	Agent - Casualty
Pending	Mcfall, Bethany	1173387	Agent - Property
Denied	Mcnab, Raymond James	1367925	Agent - Casualty
Denied	Mcnab, Raymond James	1367925	Agent - Property
Active	Meyer, Nathan	1268394	Agent - Casualty	5/28/2025
Active	Meyer, Nathan	1268394	Agent - Property	5/28/2025
Active	Miller, Justin	995648	Agent - Casualty	2/12/2025
Active	Miller, Justin	995648	Agent - Property	2/12/2025
Active	Misuraca, Dominic	1362078	Agent - Casualty	5/27/2025
Active	Misuraca, Dominic	1362078	Agent - Property	5/27/2025
Active	Mizer, Hunter	1271836	Agent - Casualty	5/28/2025
Active	Mizer, Hunter	1271836	Agent - Property	5/28/2025
Active	Moncada, Sandra E	1329800	Agent - Casualty	5/28/2025
Active	Moncada, Sandra E	1329800	Agent - Property	5/28/2025
Active	Morrow, Marcie	367181	Agent - Casualty	2/12/2025
Active	Morrow, Marcie	367181	Agent - Property	2/12/2025
Active	O Neill, Becky Marie	1099554	Agent - Health	6/18/2025
Pending	O Neill, Becky Marie	1099554	Agent - Life
Denied	Osada, Kathleen Maroney	1358621	Agent - Casualty
Denied	Osada, Kathleen Maroney	1358621	Agent - Property
Active	Peterman, John	1275609	Agent - Casualty	1/15/2025
Active	Peterman, John	1275609	Agent - Property	1/15/2025
Active	Philebaum, Jacob	1308737	Agent - Casualty	5/28/2025
Active	Philebaum, Jacob	1308737	Agent - Property	5/28/2025
Active	Purdy, Kristin L	1353220	Agent - Casualty	10/31/2024
Active	Purdy, Kristin L	1353220	Agent - Property	10/31/2024
Active	Richison, Deric Edward	1359170	Agent - Casualty	4/21/2025
Active	Richison, Deric Edward	1359170	Agent - Property	4/21/2025
Denied	Riggs, Saylor Jamison	1356440	Agent - Casualty
Denied	Riggs, Saylor Jamison	1356440	Agent - Property
Pending	Saunders, David Michael	1405701	Agent - Casualty
Pending	Saunders, David Michael	1405701	Agent - Property
Active	Seneviratne, Savanna Elaine	1279774	Agent - Casualty	10/8/2024
Active	Seneviratne, Savanna Elaine	1279774	Agent - Property	10/8/2024
Active	Sheffield, Amber	1272761	Agent - Casualty	5/27/2025
Pending	Sheffield, Amber	1272761	Agent - Health
Pending	Sheffield, Amber	1272761	Agent - Life
Active	Sheffield, Amber	1272761	Agent - Property	5/27/2025
Pending	Slane, Taeson	1398823	Agent - Casualty
Pending	Slane, Taeson	1398823	Agent - Property
Pending	Smith, Caroline D	1307948	Agent - Casualty
Pending	Smith, Caroline D	1307948	Agent - Property
Denied	Soltysiak, Susan Davis	1360667	Agent - Casualty
Denied	Soltysiak, Susan Davis	1360667	Agent - Property
Active	Stalcup, Trenton	1272624	Agent - Casualty	4/21/2025
Active	Stalcup, Trenton	1272624	Agent - Property	4/21/2025
Active	Stevens, Casey	1272754	Agent - Casualty	4/9/2025
Pending	Stevens, Casey	1272754	Agent - Life
Active	Stevens, Casey	1272754	Agent - Property	4/9/2025
Active	Sullivan, Jacob	1310356	Agent - Casualty	5/28/2025
Active	Sullivan, Jacob	1310356	Agent - Property	5/28/2025
Active	Tempestilli, Monika Barbara	1353221	Agent - Casualty	3/24/2025
Active	Tempestilli, Monika Barbara	1353221	Agent - Property	3/24/2025
Inactive	Thomas, Sara Staton	953363	Agent - Casualty	8/15/2024	10/29/2024
Inactive	Thomas, Sara Staton	953363	Agent - Health	8/15/2024	10/29/2024
Inactive	Thomas, Sara Staton	953363	Agent - Life	8/15/2024	10/29/2024
Inactive	Thomas, Sara Staton	953363	Agent - Property	8/15/2024	10/29/2024
Active	Trombetti, John	1383007	Agent - Casualty	4/17/2025
Active	Trombetti, John	1383007	Agent - Property	4/17/2025
Inactive	Vanouter , Denita Anne	1088145	Agent - Casualty	8/16/2024	6/4/2025
Inactive	Vanouter , Denita Anne	1088145	Agent - Property	8/16/2024	6/4/2025
Active	Vanscoy, Dustin	1271501	Agent - Casualty	4/9/2025
Active	Vanscoy, Dustin	1271501	Agent - Property	4/9/2025
Inactive	Watkins, Nathan Matthew	1324292	Agent - Casualty	10/8/2024	10/15/2024
Denied	Watkins, Nathan Matthew	1324292	Agent - Health
Denied	Watkins, Nathan Matthew	1324292	Agent - Life
Inactive	Watkins, Nathan Matthew	1324292	Agent - Property	10/8/2024	10/15/2024
Active	Wildman, Carri Sue	1352375	Agent - Casualty	9/10/2024
Active	Wildman, Carri Sue	1352375	Agent - Property	9/10/2024
Denied	Wiltjer, Melissa	1023026	Agent - Casualty
Denied	Wiltjer, Melissa	1023026	Agent - Property
Active	Zerhusen, Christopher	1234558	Agent - Casualty	4/21/2025
Active	Zerhusen, Christopher	1234558	Agent - Property	4/21/2025