DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hansen, Maryah	DOIID	1337530	NAIC NPN	21056849

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/29/2024		11/30/2026
Active	Non Resident	Agent	Health	4/29/2024		11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/24/2024	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/24/2024	2/3/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	5/1/2024	6/6/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	5/1/2024	6/6/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	6/17/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	6/17/2024
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/28/2024	2/4/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	5/1/2024	6/6/2024
Inactive	Ushealth Advisors Llc	713288	Agent - Health	5/1/2024	6/6/2024