DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Immunity Insurance LLC	DOIID	1393619	NAIC NPN	21548762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/7/2025		3/31/2027
Active	Resident	Agent	Life	4/7/2025		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Humana Insurance Company	301104	Agent - Health	5/8/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Simpson, Matthew Blake	816259	Agent - Health	4/7/2025
Active	Simpson, Matthew Blake	816259	Agent - Life	4/7/2025