DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Health And Life Assoc LLC	DOIID	872474	NAIC NPN	17393708

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/20/2017		3/31/2027
Active	Non Resident	Agent	Life	2/20/2017		3/31/2027
* 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	01/15/2025	03/31/2025	01/07/2025	01/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXA XL Insurance Company Americas	300979	Agent - Health	10/8/2015	11/28/2016
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	11/29/2022
Inactive	Federal Insurance Company	301144	Agent - Health	6/20/2019	11/7/2021
Inactive	Great Western Insurance Company	501693	Agent - Life	10/24/2022	9/12/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/24/2022	11/29/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/24/2022	11/29/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/24/2022	11/29/2022
Active	Washington National Insurance Company	300587	Agent - Health	12/3/2019
Active	Washington National Insurance Company	300587	Agent - Life	12/3/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/25/2022	5/29/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/25/2022	6/1/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ripple, John	805736	Agent - Health	2/20/2017
Active	Ripple, John	805736	Agent - Life	2/20/2017