DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ensurem Spv I Llc DBA : ENSUREM SPV I INSURANCE SERVICES LLC	DOIID	1147872	NAIC NPN	19973767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	7/29/2021		3/31/2025
Pending Replacement	Non Resident	Agent	Life	7/29/2021		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	10/27/2023	11/17/2023
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	10/27/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	4/9/2024
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/27/2023
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/27/2023
Pending Replacement	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/6/2021	4/9/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/6/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/6/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/6/2021	4/9/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rich, John	905847	Agent - Health	7/29/2021
Active	Rich, John	905847	Agent - Life	7/29/2021