DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Campos, Refugio Matias Jose	DOIID	1097508	NAIC NPN	19406289

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		5/31/2025
* 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	03/15/2025	05/31/2025

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	7/22/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/22/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	7/22/2021
Active	American General Life Insurance Company	301585	Agent - Health	10/17/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/14/2023	11/14/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/14/2023	11/14/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/14/2023	11/14/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	8/2/2021	2/15/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/14/2023	11/14/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/28/2020	12/10/2020
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2020	12/10/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/30/2020	12/10/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/30/2020	12/10/2020
Active	SilverScript Insurance Company	663526	Agent - Health	7/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/19/2021	6/16/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/19/2021	6/16/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/19/2021	12/27/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/19/2021	6/16/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/26/2022	1/4/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	7/25/2023	3/31/2024