DEPARTMENT OF INSURANCE

Affiliations

Name	Kauffman, Douglas E	DOIID	302073	NAIC NPN	814546

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	7/19/2019	3/31/2022
Inactive	Non Resident	Agent	Health Maintenance Organization	11/12/1998	3/1/2001
Inactive	Non Resident	Agent	Health	7/19/2019	3/31/2022
* 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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/27/2010	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/27/2010	3/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/27/2010	3/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/14/2003	3/31/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/14/2003	3/31/2018
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/20/2008	12/6/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/13/2006	12/13/2016
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/13/2006	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/13/2006	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/30/2019	3/31/2022
Inactive	Companion Life Insurance Company	300191	Agent - Life	7/30/2019	3/31/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/8/2015
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/26/2001	6/25/2008
Inactive	First Colony Life Insurance Company	301179	Agent - Life	6/8/2004	1/1/2007
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	6/21/2013	3/31/2018
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	12/4/2007
Inactive	Gerber Life Insurance Company	300529	Agent - Health	6/24/2010	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	6/24/2010	12/26/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/31/2011	4/4/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/31/2011	4/4/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/14/2007	1/3/2011
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/14/2007	1/3/2011
Inactive	HCC Life Insurance Company	301827	Agent - Health	3/30/2015	6/12/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/24/2009	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	11/12/1998	2/6/1999
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	12/31/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	11/12/1998	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	11/12/1998	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/19/2005	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/19/2005	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/11/2011	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/11/2011	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/26/2011	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/26/2011	4/25/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/1/2010	11/4/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	1/2/2012	1/16/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/9/2019	3/31/2022
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	4/5/2012	3/31/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	4/5/2012	3/31/2018
Inactive	Time Insurance Company	300683	Agent - Health	2/22/1999	3/31/2018
Inactive	Time Insurance Company	300683	Agent - Life	2/22/1999	3/31/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2010	1/31/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	1/31/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/6/2006	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/6/2006	6/11/2007
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/11/2014	11/29/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/1/2010	11/29/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	1/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	11/12/2003	2/28/2007
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	11/12/2003	2/28/2007
Inactive	Benefit Concepts, Inc	626900	Agent - Life	5/10/2006	3/31/2018
Inactive	Benefit Concepts, Inc	626900	Agent - Health	4/13/2006	3/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	3/31/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	3/31/2018
Inactive	Medlink Inc	400721	Agent - Life	6/18/2002	3/31/2018
Inactive	Medlink Inc	400721	Agent - Health	6/18/2002	3/31/2018