DEPARTMENT OF INSURANCE

Affiliations

Name	Yermak, David	DOIID	1015767	NAIC NPN	16309328

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/19/2018		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	6/16/2022	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/4/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/16/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/4/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/19/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/19/2019	12/17/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/16/2022
Active	Humana Insurance Company	301104	Agent - Health	7/26/2024
Active	Medco Containment Life Insurance Company	301557	Agent - Health	8/30/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/4/2019
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/9/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/19/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/9/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/9/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/9/2019
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/20/2020	12/30/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/7/2019

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	8/30/2019	2/11/2025