DEPARTMENT OF INSURANCE

Affiliations

Name	Gustine, Kimberly Dawn	DOIID	1061503	NAIC NPN	23929

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/17/2019		3/31/2027
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/24/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	10/24/2019
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/4/2019
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/24/2021	7/24/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021	7/24/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/30/2019	12/13/2022
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/19/2020	1/5/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/21/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/16/2021	7/24/2024
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/27/2019	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/26/2019	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	11/1/2019	12/13/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/9/2020	12/13/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/26/2021	12/13/2022
Active	SilverScript Insurance Company	663526	Agent - Health	10/24/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/17/2019	2/21/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/17/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/17/2019	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/17/2019	2/21/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/13/2019	5/31/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/13/2019	5/31/2023

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	11/4/2019	2/10/2025