DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Select Insurance	DOIID	1296218	NAIC NPN	20828469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/5/2023		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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/15/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	3/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/21/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/26/2024	12/19/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	5/28/2026
Active	Golden Rule Insurance Company	301943	Agent - Health	5/30/2025
Active	SilverScript Insurance Company	663526	Agent - Health	3/15/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/21/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/21/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/25/2025
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/25/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Rodriguez, Antonio	645786	Agent - Health	9/5/2023