DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Adam	DOIID	1365696	NAIC NPN	21311005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/3/2024		6/30/2026
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/26/2024	10/2/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/26/2024	10/2/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/26/2024	10/2/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/9/2024	9/22/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/9/2024	9/22/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	1/21/2025	10/24/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/9/2024	9/22/2025
Inactive	Humana Insurance Company	301104	Agent - Health	12/9/2024	10/24/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/17/2025	10/24/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/26/2024	10/2/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	2/24/2025	6/19/2025