DEPARTMENT OF INSURANCE

Affiliations

Name	Impact Insurance Agency LLC	DOIID	1303946	NAIC NPN	20654167

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/9/2023	3/31/2027
Active	Non Resident	Agent	Life	10/9/2023	3/31/2027
Denied	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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	10/25/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/17/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/20/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/17/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/17/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/9/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/9/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/9/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/9/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/9/2023	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/9/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	12/4/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/15/2024	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	1/15/2024	1/6/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/9/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/20/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/20/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	4/10/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/25/2024	9/13/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	4/7/2025
Active	Pacific Life Insurance Company	301848	Agent - Health	2/19/2025
Active	Pacific Life Insurance Company	301848	Agent - Life	2/19/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/17/2023
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/22/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/22/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/9/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/9/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/14/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/14/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Johnson, Cheryl Lynn	960095	Agent - Health	10/9/2023
Active	Johnson, Cheryl Lynn	960095	Agent - Life	10/9/2023