DEPARTMENT OF INSURANCE

Affiliations

Name	Ins Specialist Group	DOIID	907593	NAIC NPN	17740115

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/22/2016	3/31/2028
Active	Non Resident	Agent	Life	2/22/2016	3/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Health	10/7/2016
Inactive	AXIS Insurance Company	301290	Agent - Health	5/5/2016	8/29/2024
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/13/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/21/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/13/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	10/13/2024
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	3/16/2017	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	3/16/2017	12/21/2018
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/21/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/21/2022	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/21/2022	4/15/2025
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/2/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/29/2024
Inactive	CareSource Kentucky Co.	838179	Agent - Health	3/1/2023	7/18/2025
Active	Companion Life Insurance Company	300191	Agent - Health	5/7/2025
Active	Companion Life Insurance Company	300191	Agent - Life	5/7/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/21/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/21/2021	12/19/2025
Inactive	Federal Insurance Company	301144	Agent - Health	10/7/2016	11/8/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	12/24/2019
Active	Golden Rule Insurance Company	301943	Agent - Life	12/24/2019
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/9/2023	10/30/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	3/22/2016	4/10/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/13/2024
Active	Tier One Insurance Company	301056	Agent - Health	3/15/2023
Active	Tier One Insurance Company	301056	Agent - Life	6/24/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/29/2024
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/19/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/19/2016	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/21/2016	2/14/2017
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/29/2024
Active	Washington National Insurance Company	300587	Agent - Health	4/6/2020
Active	Washington National Insurance Company	300587	Agent - Life	4/6/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/7/2022	5/25/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/7/2022	5/25/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Graham, Matthew B	640480	Agent - Health	10/21/2026
Active	Graham, Matthew B	640480	Agent - Life	10/21/2026
Inactive	Lacey, Bradley G	807148	Agent - Health	4/28/2025	10/21/2026
Inactive	Lacey, Bradley G	807148	Agent - Life	4/29/2025	10/21/2026
Inactive	Lingle, Scott A	895577	Agent - Health	11/19/2020	4/28/2025
Inactive	Lingle, Scott A	895577	Agent - Life	11/19/2020	4/28/2025