DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Medassets Insurance Solutions, LLC	DOIID	744290	NAIC NPN	15974565

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/20/2018		3/31/2028
Active	Non Resident	Agent	Life	4/20/2018		3/31/2028
Inactive	Non Resident	Agent	Casualty	8/3/2015	9/8/2016
Inactive	Non Resident	Agent	Property	8/3/2015	9/8/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Herndon, Jamon Dale	954549	Agent - Health	5/26/2022
Pending Replacement	Herndon, Jamon Dale	954549	Agent - Life	5/26/2022
Inactive	Roach, Kelly H	741364	Agent - Casualty	8/3/2015	9/8/2016
Inactive	Roach, Kelly H	741364	Agent - Health	12/14/2010	9/8/2016
Inactive	Roach, Kelly H	741364	Agent - Life	12/14/2010	9/8/2016
Inactive	Roach, Kelly H	741364	Agent - Property	8/3/2015	9/8/2016
Inactive	Smith, David W	593700	Agent - Health	4/20/2018	5/26/2022
Inactive	Smith, David W	593700	Agent - Life	4/20/2018	5/26/2022
Inactive	Spiers, Jeffrey M	1056532	Agent - Health	10/18/2019	12/14/2020
Denied	Spiers, Jeffrey M	1056532	Agent - Life
Inactive	Vann, Becky A	926154	Agent - Health	5/7/2020	5/26/2022
Inactive	Vann, Becky A	926154	Agent - Life	5/7/2020	5/26/2022