DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Boothby, Brian	DOIID	922232	NAIC NPN	17902033

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/14/2021		7/31/2027
Active	Non Resident	Agent	Life	5/14/2021		7/31/2027
* 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	05/15/2025	07/31/2025	05/27/2025	05/27/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BCS Insurance Company	300294	Agent - Health	8/30/2016	7/31/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/27/2021	8/20/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/27/2021	8/20/2025
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/27/2021	8/20/2025
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/27/2021	8/20/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Lifetime Benefit Solutions, Inc.	574373	Agent - Life
Inactive	Lifetime Benefit Solutions, Inc.	574373	Agent - Health	8/30/2016	7/31/2017
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	6/1/2021	8/20/2025
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	6/1/2021	8/20/2025