DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Medplan Network LLC	DOIID	1020678	NAIC NPN	18739860

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/29/2018	3/31/2026
Inactive	Non Resident	Agent	Life	11/29/2018	3/31/2026
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/4/2020	3/31/2026
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020	3/31/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/4/2020	3/31/2026
Inactive	All Savers Insurance Company	301940	Agent - Health	3/26/2019	5/31/2022
Inactive	All Savers Insurance Company	301940	Agent - Life	3/26/2019	5/31/2022
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/18/2019	4/24/2024
Inactive	Medico Insurance Company	301559	Agent - Health	1/4/2019	12/28/2020
Inactive	Medico Insurance Company	301559	Agent - Life	1/4/2019	12/28/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	2/4/2020	3/31/2026
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/9/2019	3/31/2026
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/9/2019	3/31/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/26/2021	3/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	2/26/2021	3/27/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	10/15/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/21/2019	6/1/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	3/21/2019	6/7/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/21/2019	6/1/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	3/21/2019	6/7/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/5/2019	10/15/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Booker, Travis L	547359	Agent - Health	11/29/2018	3/31/2026
Inactive	Booker, Travis L	547359	Agent - Life	11/29/2018	3/31/2026