DEPARTMENT OF INSURANCE

Affiliations

Name	Kimack, David	DOIID	1097483	NAIC NPN	19632973

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/10/2020		12/31/2025
* 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	10/15/2025	12/31/2025

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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/23/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/8/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/23/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/23/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/23/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/25/2021	5/6/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/21/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/8/2021	8/10/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/9/2020	12/8/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/21/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/8/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/30/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/16/2023	9/21/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/3/2021	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	12/4/2020	8/10/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/2/2021	8/10/2023
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/29/2021	7/4/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/23/2020
Active	Tier One Insurance Company	301056	Agent - Health	12/17/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/28/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/28/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/28/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/28/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/24/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/22/2020	6/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Platinum Shield Insurance LLC	1373349	Agent - Health	11/20/2024
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	10/1/2020	11/27/2023