DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Immunity Insurance LLC	DOIID	1393619	NAIC NPN	21548762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/7/2025		3/31/2027
Active	Resident	Agent	Life	4/7/2025		3/31/2027
* 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	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/4/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	11/4/2025
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/14/2025
Active	CompBenefits Insurance Company	301864	Agent - Health	7/3/2025
Active	Dental Concern Inc. (The)	301641	Agent - Health	7/7/2025
Active	Emphesys Insurance Company	300598	Agent - Health	10/31/2025
Active	Humana Insurance Company	301104	Agent - Health	5/8/2025
Active	Medico Insurance Company	301559	Agent - Health	10/14/2025
Active	Medico Life and Health Insurance Company	907406	Agent - Health	10/14/2025
Active	SilverScript Insurance Company	663526	Agent - Health	11/4/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Simpson, Matthew Blake	816259	Agent - Health	4/7/2025
Active	Simpson, Matthew Blake	816259	Agent - Life	4/7/2025