DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Faulkner, Kristan Peta-Gay	DOIID	1065031	NAIC NPN	19344436

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/12/2019		8/31/2027
* 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	06/15/2025	08/31/2025	06/04/2025	06/04/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	1/13/2020
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/13/2020
Active	CompBenefits Insurance Company	301864	Agent - Health	7/13/2020
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/1/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/13/2020
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/19/2020
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/28/2023
Active	Humana Insurance Company	301104	Agent - Health	7/13/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/13/2020
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/19/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/24/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/24/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	1/13/2020	4/21/2022
Active	Humana MarketPOINT Inc.	398092	Agent - Health	5/11/2020