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
Active	Non Resident	Agent	Health	7/22/2025		3/31/2027
Active	Non Resident	Agent	Life	7/22/2025		3/31/2027
* 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	Accendo Insurance Company	300312	Agent - Health	10/27/2023	11/17/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/27/2023	3/31/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	4/9/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/27/2023	3/31/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/27/2023	3/31/2025
Inactive	Tier One Insurance Company	301056	Agent - Health	10/24/2022	3/31/2025
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	7/22/2025
Active	Rich, John	905847	Agent - Life	7/22/2025