DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Financial Advisor Benefits	DOIID	862208	NAIC NPN	17222512

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/29/2014		3/31/2026
Active	Non Resident	Agent	Health	11/29/2014		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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/9/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/9/2016	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/9/2016	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/1/2015	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/1/2015	12/8/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/1/2015	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/1/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/5/2016	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Health	1/23/2016	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Life	4/1/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/1/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/1/2015	12/8/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/1/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/1/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/1/2015	10/22/2015
Active	Standard Insurance Company	300185	Agent - Health	11/6/2024
Active	Standard Insurance Company	300185	Agent - Life	11/6/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brewster, Leah C	861073	Agent - Health	11/29/2014	1/31/2018
Inactive	Brewster, Leah C	861073	Agent - Life	11/29/2014	1/31/2018
Active	Kellar, Kyle	861248	Agent - Health	4/10/2018
Active	Kellar, Kyle	861248	Agent - Life	4/10/2018