DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ambrocio, Mike Daniel	DOIID	1360615	NAIC NPN	20713032

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/10/2024		11/30/2026
* 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	09/15/2026	11/30/2026

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	9/14/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/14/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	9/14/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/10/2024	2/6/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/10/2024	2/6/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/26/2025	2/16/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/10/2024	2/6/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	2/7/2025
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	9/16/2024	1/14/2025
Active	SilverScript Insurance Company	663526	Agent - Health	9/14/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/26/2025	2/16/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/26/2025	2/16/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	10/9/2024	12/13/2024