DEPARTMENT OF INSURANCE

Affiliations

Name	Kentucky Medicare Brokerage LLC	DOIID	1213850	NAIC NPN	20380471

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	6/29/2022	3/31/2026
Denied	Resident	Agent	Life
* 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	01/15/2026	03/31/2026

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	10/15/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/15/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	10/15/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/14/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/14/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/14/2022
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	8/24/2022
Active	CHA HMO, Inc.	300662	Agent - Health	1/4/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/12/2022	2/17/2025
Active	CompBenefits Insurance Company	301864	Agent - Health	9/6/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/14/2022
Active	Dental Concern Inc. (The)	301641	Agent - Health	5/10/2023
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/31/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/26/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/24/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	11/9/2023
Active	Humana Insurance Company	301104	Agent - Health	7/28/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/31/2023
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/24/2022
Active	LifeShield National Insurance Company	737111	Agent - Health	8/29/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/15/2024
Active	Tier One Insurance Company	301056	Agent - Health	8/24/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/12/2022	2/17/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/12/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2022	2/17/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/15/2022	3/1/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/15/2022	3/1/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kauffmann, Caroline Kirk	520474	Agent - Health	7/21/2022
Inactive	Kauffmann, Caroline Kirk	520474	Agent - Life	7/12/2022	10/27/2022