DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lacy, Kenneth	DOIID	1300524	NAIC NPN	19235880

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/22/2023		6/30/2026
* 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	04/15/2026	06/30/2026

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	10/28/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/28/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/28/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/9/2023	2/11/2025
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/9/2023	2/11/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/23/2023	2/11/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/5/2024	2/11/2025
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/23/2023	2/11/2025
Inactive	Humana Insurance Company	301104	Agent - Health	10/9/2023	2/11/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/9/2023	2/11/2025
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/5/2024	2/11/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	3/14/2024	2/20/2025