DEPARTMENT OF INSURANCE

Affiliations

Name	Bautista, Adrian	DOIID	1059195	NAIC NPN	19287759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/4/2019		4/30/2027
* 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	02/15/2027	04/30/2027

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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/2/2020	2/2/2026
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/18/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/21/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	8/21/2026
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	5/21/2026
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/9/2019
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	1/21/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	7/30/2025	1/29/2026
Inactive	Capitol Life Insurance Company	301514	Agent - Health	12/17/2020	6/21/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/19/2024	1/20/2026
Inactive	CareSource Kentucky Co.	838179	Agent - Health	3/20/2023	12/26/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	1/21/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/18/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/27/2024
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/22/2023	6/18/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/29/2020	3/23/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/22/2022	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	5/22/2025	1/29/2026
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/30/2025	1/29/2026
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/6/2023	3/13/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/26/2026
Active	SilverScript Insurance Company	663526	Agent - Health	8/21/2026
Inactive	Tier One Insurance Company	301056	Agent - Health	2/20/2023	12/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/19/2024	1/20/2026
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	2/24/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/29/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/19/2024	1/20/2026

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 - Health	10/16/2019	2/3/2025