DEPARTMENT OF INSURANCE

Affiliations

Name	Simon, James	DOIID	1051274	NAIC NPN	18414600

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/12/2019	2/28/2025
Active	Non Resident	Agent	Health	4/6/2020	2/28/2025
Active	Non Resident	Agent	Life	4/6/2020	2/28/2025
Active	Non Resident	Agent	Property	8/12/2019	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/18/2020	10/7/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/24/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/18/2020	10/7/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/18/2020	10/7/2024
Inactive	American Continental Insurance Company	643130	Agent - Life	4/24/2020	8/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/16/2020	11/23/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	11/23/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/4/2020	12/13/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/24/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/16/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/16/2019
Active	Homesite Insurance Company	301139	Agent - Casualty	5/24/2023
Active	Homesite Insurance Company	301139	Agent - Property	5/24/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	5/24/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	5/24/2023
Inactive	National General Insurance Company	300152	Agent - Casualty	8/14/2019	6/9/2021
Inactive	National General Insurance Company	300152	Agent - Property	8/14/2019	6/9/2021
Active	Progressive Direct Insurance Company	301379	Agent - Casualty	2/21/2023
Active	Progressive Direct Insurance Company	301379	Agent - Property	2/21/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/18/2020	10/7/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/22/2020	2/21/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	7/22/2020	2/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/22/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/22/2020	2/21/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/2/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/2/2020	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	Affinity Brokerage, LLC	544886	Agent - Casualty	8/15/2019	9/13/2021
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	8/15/2019	9/13/2021
Inactive	CWI, LLC	662170	Agent - Casualty	8/15/2019	9/13/2021
Inactive	CWI, LLC	662170	Agent - Property	8/15/2019	9/13/2021
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	8/15/2019	9/13/2021
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	8/15/2019	9/13/2021
Active	Designated Agent Company Inc.	681257	Agent - Life	5/9/2020
Active	Designated Agent Company Inc.	681257	Agent - Health	5/9/2020
Inactive	Healthcompare Ins Services Inc	708319	Agent - Life	4/24/2020	9/13/2021
Inactive	Healthcompare Ins Services Inc	708319	Agent - Health	4/22/2020	9/13/2021
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	8/15/2019	9/13/2021
Inactive	National General Ins Marketing Inc	621228	Agent - Property	8/15/2019	9/13/2021