DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kwiatkoski, Dean	DOIID	1018502	NAIC NPN	18630539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/8/2018		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/9/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/1/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/9/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/16/2019	12/18/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	12/5/2018	12/22/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	12/18/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/1/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/15/2019	6/14/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/15/2020	4/22/2021
Active	SilverScript Insurance Company	663526	Agent - Health	10/9/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	11/20/2018	8/1/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/13/2018	8/29/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/17/2019	12/29/2021

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	10/16/2019	2/10/2025