DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Onedigital Medicare Services LLC	DOIID	1175294	NAIC NPN	20153104

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/3/2021		3/31/2027
Active	Non Resident	Agent	Life	12/3/2021		3/31/2027
Active	Non Resident	Agent	Health	12/3/2021		3/31/2027
Active	Non Resident	Agent	Casualty	12/3/2021		3/31/2027
* 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	01/15/2025	03/31/2025	01/03/2025	01/03/2025	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	9/25/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/25/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/25/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/3/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	1/31/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	4/8/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	4/8/2025
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/3/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/3/2023
Active	Humana Health Plan, Inc.	300142	Agent - Health	2/8/2024
Active	Humana Insurance Company	301104	Agent - Health	11/3/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/3/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/3/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/25/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bukowski, Stanley	821157	Agent - Health	3/23/2023
Inactive	Bukowski, Stanley	821157	Agent - Life	3/23/2023	9/18/2024
Active	Pannell, Adam R	1093621	Agent - Casualty	12/3/2021
Active	Pannell, Adam R	1093621	Agent - Health	12/3/2021
Active	Pannell, Adam R	1093621	Agent - Life	12/3/2021
Active	Pannell, Adam R	1093621	Agent - Property	12/3/2021