DEPARTMENT OF INSURANCE

Affiliations

Name	Kentucky Southern Insurance, LLC	DOIID	800296	NAIC NPN	16853602

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	12/26/2012	3/31/2026
Active	Resident	Agent	Life	12/26/2012	3/31/2026
Active	Resident	Agent	Health	12/26/2012	3/31/2026
Active	Resident	Agent	Casualty	12/26/2012	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	ACE Property and Casualty Insurance Company	300520	Agent - Health	2/12/2025
Active	All Savers Insurance Company	301940	Agent - Health	4/21/2023
Active	All Savers Insurance Company	301940	Agent - Life	4/21/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/25/2013
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/25/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/25/2013	4/15/2025
Active	Banner Life Insurance Company	301696	Agent - Life	9/6/2013
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	4/20/2022
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	1/9/2013
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	1/9/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/3/2016	12/13/2016
Active	CompBenefits Insurance Company	301864	Agent - Health	1/5/2021
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	3/8/2013	12/8/2017
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	3/8/2013	12/8/2017
Inactive	Dental Care Plus Inc.	301495	Agent - Health	2/25/2013	3/31/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/5/2023	12/12/2024
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	1/27/2021
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	1/27/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Health	4/1/2021	8/18/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/1/2021	8/18/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Health	1/14/2013
Active	Guardian Life Insurance Company of America	301316	Agent - Life	1/14/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/22/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/7/2013	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Health	1/18/2023	12/12/2024
Inactive	Humana Insurance Company	301104	Agent - Life	1/7/2013	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/18/2023	12/12/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/18/2023	12/12/2024
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/7/2013	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/7/2013	12/8/2017
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/21/2013	10/29/2015
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/17/2013
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/17/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/11/2016	12/22/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	2/11/2016	12/22/2016
Active	Principal Life Insurance Company	300129	Agent - Health	11/22/2021
Active	Principal Life Insurance Company	300129	Agent - Life	11/22/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/4/2021	11/30/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/4/2021	11/30/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/6/2015	12/23/2024
Active	Standard Insurance Company	300185	Agent - Health	1/6/2013
Active	Standard Insurance Company	300185	Agent - Life	1/6/2013
Inactive	Starmount Life Insurance Company	628031	Agent - Health	1/4/2021	11/30/2023
Active	Sun Life Assurance Company of Canada	301811	Agent - Health	3/7/2019
Active	Sun Life Assurance Company of Canada	301811	Agent - Life	3/7/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/4/2021	11/30/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/4/2021	11/30/2023
Inactive	Union Security Insurance Company	301844	Agent - Health	3/11/2013	12/21/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	3/11/2013	12/21/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/11/2016	12/22/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/11/2016	12/22/2016
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/28/2016
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	9/28/2016
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/28/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/14/2022	12/17/2024
Inactive	Unum Insurance Company	301499	Agent - Health	1/4/2021	11/30/2023
Inactive	Unum Insurance Company	301499	Agent - Life	1/4/2021	11/30/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Meyer, David Thomas	317538	Agent - Casualty	12/26/2012
Active	Meyer, David Thomas	317538	Agent - Health	12/26/2012
Active	Meyer, David Thomas	317538	Agent - Life	12/26/2012
Active	Meyer, David Thomas	317538	Agent - Property	12/26/2012
Inactive	Winokur, Gregory H	631819	Agent - Health	12/11/2019	1/1/2024
Inactive	Winokur, Gregory H	631819	Agent - Life	12/11/2019	1/1/2024