DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wyatt, Kenneth	DOIID	1042724	NAIC NPN	19187370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/4/2019	4/22/2022
Inactive	Non Resident	Agent	Life	6/4/2019	4/22/2022
* 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 Life Insurance Company	301209	Agent - Health	4/23/2020	6/27/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/23/2020	6/27/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	4/21/2020	4/22/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	4/21/2020	4/22/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/4/2020	6/19/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/4/2020	6/19/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/27/2020	8/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/27/2020	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/27/2020	10/8/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	3/27/2020	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/27/2020	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/27/2020	10/8/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/19/2019	8/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/19/2019	8/31/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/19/2019	8/31/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/19/2019	8/31/2020
Inactive	Unum Insurance Company	301499	Agent - Health	3/27/2020	10/8/2021
Inactive	Unum Insurance Company	301499	Agent - Life	3/27/2020	10/8/2021

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 - Life	4/24/2020	4/22/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/24/2020	4/22/2022
Inactive	With Gusto Insurance Service LLC	889916	Agent - Life	7/19/2019	4/22/2022
Inactive	With Gusto Insurance Service LLC	889916	Agent - Health	7/19/2019	4/22/2022