PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameLegacy Planning And Solutions LLCDOIID809055NAIC NPN16953040
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentCasualty   
DeniedResidentAgentProperty   
Pending ReplacementResidentAgentLife5/3/2013 3/31/2025
Pending ReplacementResidentAgentHealth5/3/2013 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAccendo Insurance Company300312Agent - Health3/9/2021 
InactiveAccendo Insurance Company300312Agent - Life3/9/20219/6/2024
InactiveAetna Health and Life Insurance Company300523Agent - Health3/1/20219/6/2024
Pending ReplacementAetna Health and Life Insurance Company300523Agent - Life3/1/2021 
Pending ReplacementAmerican Benefit Life Insurance Company301002Agent - Life7/17/2017 
InactiveAmerican Continental Insurance Company643130Agent - Health3/9/20218/10/2021
InactiveAmerican Continental Insurance Company643130Agent - Life3/9/20218/11/2021
Pending ReplacementAmerican National Insurance Company301861Agent - Life5/19/2022 
Pending ReplacementAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life6/24/2023 
Pending ReplacementAssurity Life Insurance Company301099Agent - Health6/16/2021 
Pending ReplacementAssurity Life Insurance Company301099Agent - Life6/16/2021 
Pending ReplacementBanner Life Insurance Company301696Agent - Life6/26/2021 
InactiveColumbian Life Insurance Company300810Agent - Life1/15/20198/26/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/9/20219/6/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/9/20219/6/2024
InactiveDental Concern Inc. (The)301641Agent - Health8/11/20177/11/2019
Pending ReplacementEquiTrust Life Insurance Company502870Agent - Life2/14/2020 
Pending ReplacementFidelity & Guaranty Life Insurance Company301359Agent - Life5/2/2019 
Pending ReplacementForethought Life Insurance Company301407Agent - Health10/31/2018 
Pending ReplacementForethought Life Insurance Company301407Agent - Life10/31/2018 
Pending ReplacementGerber Life Insurance Company300529Agent - Health11/1/2021 
Pending ReplacementGerber Life Insurance Company300529Agent - Life11/1/2021 
InactiveHomesteaders Life Company300836Agent - Life12/27/20177/13/2020
InactiveHumana Insurance Company301104Agent - Health8/11/20177/11/2019
InactiveHumana Insurance Company301104Agent - Life8/11/20177/11/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/11/20176/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/11/20176/15/2018
InactiveIndependent Order of Foresters300743Agent - Life12/29/202012/29/2021
InactiveKanawha Insurance Company300127Agent - Health8/11/201712/8/2017
InactiveKanawha Insurance Company300127Agent - Life8/11/201712/8/2017
Pending ReplacementKentucky Funeral Directors Life Insurance Company532905Agent - Life3/4/2023 
Pending ReplacementLiberty Bankers Life Insurance Company542461Agent - Life12/1/2022 
Pending ReplacementLife Insurance Company of the Southwest301867Agent - Health10/9/2018 
Pending ReplacementLife Insurance Company of the Southwest301867Agent - Life10/9/2018 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health12/10/20187/26/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Life12/10/20187/26/2024
Pending ReplacementNational Guardian Life Insurance Company300596Agent - Life12/30/2016 
Pending ReplacementNational Life Insurance Company301852Agent - Health11/2/2018 
Pending ReplacementNational Life Insurance Company301852Agent - Life11/2/2018 
Pending ReplacementNational Western Life Insurance Company301515Agent - Life6/13/2019 
Pending ReplacementNorth American Company for Life and Health Insurance300291Agent - Life4/12/2020 
Pending ReplacementPioneer American Insurance Company301268Agent - Life12/5/2023 
InactiveSouthern Financial Life Insurance Company300664Agent - Life10/1/20174/17/2025
Pending ReplacementTier One Insurance Company301056Agent - Health10/24/2022 
Pending ReplacementTier One Insurance Company301056Agent - Life8/17/2022 
Pending ReplacementTransamerica Life Insurance Company300571Agent - Health12/5/2017 
Pending ReplacementTransamerica Life Insurance Company300571Agent - Life12/5/2017 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health7/11/201910/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life7/11/201910/1/2020
InactiveUnified Life Insurance Company543169Agent - Health6/23/201712/28/2018
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/5/20174/2/2019
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health10/5/201712/20/2018
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/5/20173/29/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveClemens, Carolyn Noreen 364335Agent - Health5/3/2013 
ActiveClemens, Carolyn Noreen 364335Agent - Life5/3/2013 
DeniedClemens, Randall Fredrick 665366Agent - Casualty  
InactiveClemens, Randall Fredrick 665366Agent - Health5/3/201310/1/2022
InactiveClemens, Randall Fredrick 665366Agent - Life5/3/201310/1/2022
DeniedClemens, Randall Fredrick 665366Agent - Property  
InactiveDickerson, Sandra Kathalean 356831Agent - Health5/3/20136/1/2014
InactiveDickerson, Sandra Kathalean 356831Agent - Life5/3/20136/1/2014
DeniedSimmons, Jason Joseph 715883Agent - Health  
DeniedSimmons, Jason Joseph 715883Agent - Life  

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