DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ambrosino, Andrew James	DOIID	1022179	NAIC NPN	18946575

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/12/2018	12/21/2023
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/29/2019	12/21/2023
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/12/2019	12/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Catch Insurance LLC	1022498	Agent - Health	12/14/2018	10/3/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/29/2019	12/21/2023