DEPARTMENT OF INSURANCE

Affiliations

Name	Lifesmart, LLC	DOIID	930588	NAIC NPN	16305526

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/26/2016	3/31/2026
Active	Non Resident	Agent	Life	9/26/2016	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	ACE Property and Casualty Insurance Company	300520	Agent - Health	12/17/2022
Inactive	Accendo Insurance Company	300312	Agent - Health	7/25/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/23/2017
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	8/23/2017	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/6/2020	6/7/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/24/2017
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/6/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/6/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/23/2019	1/6/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	4/23/2019	1/6/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/6/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/23/2017
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/15/2021
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/26/2024
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	1/23/2025
Active	Essence Healthcare, Inc.	657425	Agent - Health	11/3/2022
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/14/2017	1/2/2019
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/14/2017	1/2/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Health	5/25/2021	2/17/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	7/23/2021
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/29/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	5/29/2017	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/29/2017
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/6/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/6/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kozlowski, Richard N	930406	Agent - Health	9/26/2016
Active	Kozlowski, Richard N	930406	Agent - Life	9/26/2016