DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Desrivieres, Kassandra Simmon	DOIID	1165198	NAIC NPN	20072795

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/8/2021		4/30/2027
* 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	02/15/2025	04/30/2025	04/01/2025	04/01/2025	Yes

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	11/12/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	11/12/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	11/12/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/8/2021	5/25/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/8/2021	5/25/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/8/2021	5/25/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	6/19/2023
Active	CHA HMO, Inc.	300662	Agent - Health	12/6/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	5/24/2023
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/8/2021	5/25/2023
Active	Dental Concern Inc. (The)	301641	Agent - Health	12/29/2023
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/3/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/6/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/26/2023
Active	Humana Insurance Company	301104	Agent - Health	5/24/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	6/19/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/6/2023
Active	SilverScript Insurance Company	663526	Agent - Health	11/12/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/28/2022	7/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/20/2022	5/3/2023
Inactive	Healthinsurance.Com, LLC	1082129	Agent - Health	3/22/2023	5/1/2023
Active	Humana MarketPOINT Inc.	398092	Agent - Health	7/24/2023
Active	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022