DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kuzmin, Elena G	DOIID	1014750	NAIC NPN	18924683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/12/2018		6/30/2027
* 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	04/15/2025	06/30/2025	06/03/2025	06/03/2025	Yes

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	2/24/2021	7/13/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/24/2021	7/13/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/10/2021	7/13/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/28/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/28/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/28/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/28/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/24/2021	7/13/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/7/2018	7/21/2021