DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jimenez, Kassandra	DOIID	1159536	NAIC NPN	20023470

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/17/2021		12/31/2024
Active	Non Resident	Agent	Personal Lines	11/29/2021		12/31/2024
Active	Non Resident	Agent	Health	9/17/2021		12/31/2024
* 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	10/15/2024	12/31/2024

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	5/30/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/30/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	5/30/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/4/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/4/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	5/20/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/4/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/7/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	12/2/2021	8/21/2023
Active	SilverScript Insurance Company	663526	Agent - Health	5/30/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	5/20/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/20/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/3/2021	6/2/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Life	10/3/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/28/2022	5/29/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	9/7/2022	8/21/2023