DEPARTMENT OF INSURANCE
Affiliations
NameSimon, James DOIID1051274NAIC NPN18414600
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty8/12/2019 2/28/2025
ActiveNon ResidentAgentHealth4/6/2020 2/28/2025
ActiveNon ResidentAgentLife4/6/2020 2/28/2025
ActiveNon ResidentAgentProperty8/12/2019 2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202402/28/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health8/18/2020 
ActiveAetna Health and Life Insurance Company300523Agent - Health4/24/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/18/2020 
ActiveAetna Life Insurance Company301140Agent - Health8/18/2020 
InactiveAmerican Continental Insurance Company643130Agent - Life4/24/20208/11/2021
InactiveAnthem Life Insurance Company301209Agent - Health4/16/202011/23/2021
InactiveAnthem Life Insurance Company301209Agent - Life5/8/202011/23/2021
InactiveArcadian Health Plan, Inc.728196Agent - Health12/4/202012/13/2022
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health4/24/2020 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/16/2019 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/16/2019 
ActiveHomesite Insurance Company301139Agent - Casualty5/24/2023 
ActiveHomesite Insurance Company301139Agent - Property5/24/2023 
ActiveHomesite Insurance Company of the Midwest874850Agent - Casualty5/24/2023 
ActiveHomesite Insurance Company of the Midwest874850Agent - Property5/24/2023 
InactiveNational General Insurance Company300152Agent - Casualty8/14/20196/9/2021
InactiveNational General Insurance Company300152Agent - Property8/14/20196/9/2021
ActiveProgressive Direct Insurance Company301379Agent - Casualty2/21/2023 
ActiveProgressive Direct Insurance Company301379Agent - Property2/21/2023 
ActiveSilverScript Insurance Company663526Agent - Health8/18/2020 
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/22/20202/21/2022
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/22/20202/21/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/22/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/22/20202/21/2022
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health5/2/202012/30/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health5/2/202012/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAffinity Brokerage, LLC544886Agent - Casualty8/15/20199/13/2021
InactiveAffinity Brokerage, LLC544886Agent - Property8/15/20199/13/2021
InactiveCWI, LLC662170Agent - Casualty8/15/20199/13/2021
InactiveCWI, LLC662170Agent - Property8/15/20199/13/2021
InactiveCamping World Insurance Services of Kentucky, LLC663187Agent - Casualty8/15/20199/13/2021
InactiveCamping World Insurance Services of Kentucky, LLC663187Agent - Property8/15/20199/13/2021
ActiveDesignated Agent Company Inc.681257Agent - Life5/9/2020 
ActiveDesignated Agent Company Inc.681257Agent - Health5/9/2020 
InactiveHealthcompare Ins Services Inc708319Agent - Life4/24/20209/13/2021
InactiveHealthcompare Ins Services Inc708319Agent - Health4/22/20209/13/2021
InactiveNational General Ins Marketing Inc621228Agent - Casualty8/15/20199/13/2021
InactiveNational General Ins Marketing Inc621228Agent - Property8/15/20199/13/2021

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