DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lacey, Bradley G	DOIID	807148	NAIC NPN	9964166

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/15/2025		5/31/2027
Active	Non Resident	Agent	Life	1/15/2025		5/31/2027
* 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	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/13/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/15/2013	12/5/2014
Active	Companion Life Insurance Company	300191	Agent - Health	5/7/2025
Active	Companion Life Insurance Company	300191	Agent - Life	5/7/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/15/2013	12/5/2014
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/15/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/15/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	8/15/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	8/15/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/15/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/15/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/15/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/15/2013	12/5/2014
Inactive	Tier One Insurance Company	301056	Agent - Health	4/29/2025	8/21/2026
Inactive	Tier One Insurance Company	301056	Agent - Life	4/29/2025	8/21/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/24/2017	7/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/24/2017	7/31/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/24/2017	7/31/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/24/2017	4/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Specialist Group	907593	Agent - Life	4/29/2025	10/21/2026
Inactive	Ins Specialist Group	907593	Agent - Health	4/28/2025	10/21/2026