DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	O Connor, John	DOIID	1086031	NAIC NPN	8509188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/11/2020		11/30/2025
Active	Non Resident	Agent	Health	6/11/2020		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/22/2020	12/15/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/23/2020	12/15/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/23/2020	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/22/2020	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	6/22/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/22/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/22/2020	12/15/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/23/2020	12/15/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	6/23/2020	12/15/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Life
Pending	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Health