DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	National United Brokers Inc	DOIID	625347	NAIC NPN	2438567

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/4/2019		3/31/2026
Active	Non Resident	Agent	Health	12/4/2019		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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc.	300694	Agent - Health	8/15/2006	12/31/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/15/2006	3/31/2008
Active	CareSource Kentucky Co.	838179	Agent - Health	3/5/2020
Active	SilverScript Insurance Company	663526	Agent - Health	5/21/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/8/2020
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ayers, Randolph J	303833	Agent - Health	12/4/2019
Active	Ayers, Randolph J	303833	Agent - Life	12/4/2019