DEPARTMENT OF INSURANCE
Affiliations
NameOld IM Co, Inc.DOIID1096737NAIC NPN19632019
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/4/2020 3/31/2026
ActiveNon ResidentAgentProperty10/7/2022 3/31/2026
ActiveNon ResidentAgentHealth9/4/2020 3/31/2026
ActiveNon ResidentAgentCasualty10/7/2022 3/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health2/4/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/4/2021 
ActiveAetna Life Insurance Company301140Agent - Health2/4/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/16/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health6/9/20214/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life6/9/20214/15/2025
InactiveAssurity Life Insurance Company301099Agent - Health3/8/202112/20/2022
InactiveAssurity Life Insurance Company301099Agent - Life3/8/202112/20/2022
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty12/14/202211/16/2023
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property12/14/202211/16/2023
ActiveCIGNA Health & Life Insurance Company301783Agent - Health2/16/2021 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20222/4/2025
ActiveCareSource Kentucky Co.838179Agent - Health10/20/2020 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveElips Life Insurance Company301087Agent - Health4/21/202212/18/2024
ActiveGolden Rule Insurance Company301943Agent - Health2/3/2021 
ActiveGolden Rule Insurance Company301943Agent - Life2/3/2021 
InactiveHealthSpring National Health Insurance Company300235Agent - Health6/26/20231/9/2025
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health11/21/2022 
InactiveLumico Life Insurance Company300354Agent - Health12/28/202111/1/2022
InactiveLumico Life Insurance Company300354Agent - Life12/28/202112/3/2024
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health8/9/2023 
ActiveNational Health Insurance Company300554Agent - Health11/3/2020 
ActiveNational Health Insurance Company300554Agent - Life11/3/2020 
InactiveSAFECO Insurance Company of America300159Agent - Casualty4/4/20233/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property4/4/20233/29/2024
ActiveSilverScript Insurance Company663526Agent - Health2/4/2021 
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty12/14/202211/16/2023
InactiveStandard Fire Insurance Company (The)301068Agent - Property12/14/202211/16/2023
InactiveThe Phoenix Insurance Company301502Agent - Casualty12/14/202211/16/2023
InactiveThe Phoenix Insurance Company301502Agent - Property12/14/202211/16/2023
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty12/14/202211/16/2023
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property12/14/202211/16/2023
ActiveUnited States Fire Insurance Company582240Agent - Casualty8/25/2023 
ActiveUnited States Fire Insurance Company582240Agent - Health8/25/2023 
ActiveUnited States Fire Insurance Company582240Agent - Property8/25/2023 
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/9/20202/4/2025
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/9/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/9/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/9/20202/4/2025
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/8/2022 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health5/12/2021 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/8/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBorowski, Jimmy Clay 1231056Agent - Casualty10/7/2022 
ActiveBorowski, Jimmy Clay 1231056Agent - Property10/7/2022 
ActivePequeno, John P 685298Agent - Health9/4/2020 
ActivePequeno, John P 685298Agent - Life9/4/2020 

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