DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivlin, Alex Jared	DOIID	651775	NAIC NPN	4586086

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/20/2007	10/31/2016
Inactive	Non Resident	Agent	Property	3/20/2007	10/31/2016
Inactive	Non Resident	Agent	Life	3/20/2007	10/31/2016
Inactive	Non Resident	Agent	Casualty	3/20/2007	10/31/2016
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	7/16/2012	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/16/2012	9/3/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/16/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	7/16/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/16/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/16/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/16/2012	9/3/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/2/2009	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/2/2009	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/16/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/16/2012	9/3/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	InsureMonkey, Inc	700312	Agent - Life	3/20/2009	9/8/2010
Inactive	InsureMonkey, Inc	700312	Agent - Health	3/20/2009	9/8/2010