DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Andretich, James M	DOIID	1300900	NAIC NPN	2173602

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/25/2023		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/1/2023	7/2/2026
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/1/2023	7/2/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Coverage Champions Insurance Agency LLC	1386910	Agent - Health	6/9/2026	7/2/2026