DEPARTMENT OF INSURANCE

Affiliations

Name	Kratochvil, David	DOIID	627237	NAIC NPN	7724911

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/9/2009	7/31/2025
Active	Non Resident	Agent	Health	7/22/2022	7/31/2025
Active	Non Resident	Agent	Property	11/9/2009	7/31/2025
Active	Non Resident	Agent	Life	7/22/2022	7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	10/5/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/15/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/5/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/15/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/15/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/12/2022	5/7/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/12/2022	5/7/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/12/2022	5/7/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/27/2022	8/13/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/12/2022	5/7/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/5/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/5/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/31/2006	7/31/2007
Inactive	Humana Insurance Company	301104	Agent - Health	5/31/2006	7/31/2007
Inactive	Humana Insurance Company	301104	Agent - Life	5/31/2006	7/31/2007
Active	SilverScript Insurance Company	663526	Agent - Health	9/15/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/19/2014	6/2/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	2/19/2014	6/2/2022
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	6/12/2012	12/4/2018
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	6/12/2012	12/4/2018
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	12/4/2009	6/2/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	12/4/2009	6/2/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/4/2009	6/2/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/4/2009	6/2/2022
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	10/19/2018	6/2/2022
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	10/19/2018	6/2/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/27/2022	8/13/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/27/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/27/2022	8/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/27/2023	5/15/2024
Denied	Assurance IQ, LLC	919554	Agent - Casualty
Denied	Assurance IQ, LLC	919554	Agent - Property