DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hiq Spv Insurance Services LLC	DOIID	1109928	NAIC NPN	19705918

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/10/2020		3/31/2026
Active	Non Resident	Agent	Life	6/21/2023		3/31/2026
Inactive	Non Resident	Agent	Property	7/18/2023	1/12/2024
Inactive	Non Resident	Agent	Casualty	7/18/2023	1/12/2024
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	4/11/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/16/2021	4/11/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	3/16/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/16/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/16/2021	4/11/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kaplan, Stephen Bernard	710397	Agent - Health	1/12/2024
Active	Kaplan, Stephen Bernard	710397	Agent - Life	1/12/2024
Inactive	Suri, Gaurav	875169	Agent - Casualty	7/18/2023	1/12/2024
Inactive	Suri, Gaurav	875169	Agent - Health	11/10/2020	1/15/2024
Inactive	Suri, Gaurav	875169	Agent - Life	6/21/2023	1/15/2024
Inactive	Suri, Gaurav	875169	Agent - Property	7/18/2023	1/12/2024