DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Platinum Shield Insurance LLC	DOIID	1373349	NAIC NPN	21351008

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/20/2024		3/31/2026
* 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	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 and Life Insurance Company	300523	Agent - Health	1/6/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/15/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	4/15/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/6/2025
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/15/2025
Active	SilverScript Insurance Company	663526	Agent - Health	4/15/2025
Active	Tier One Insurance Company	301056	Agent - Health	12/16/2024
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	Kimack, David	1097483	Agent - Health	11/20/2024