DEPARTMENT OF INSURANCE

Affiliations

Name	Klimchak, John R	DOIID	658264	NAIC NPN	766970

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/25/2007	1/31/2026
Active	Non Resident	Agent	Life	6/25/2007	1/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Active	All Savers Insurance Company	301940	Agent - Health	2/15/2024
Active	All Savers Insurance Company	301940	Agent - Life	2/15/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	6/30/2021	6/8/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	6/30/2021	6/8/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	2/5/2016
Active	Anthem Life Insurance Company	301209	Agent - Life	2/5/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/12/2013	11/30/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	7/20/2011	12/13/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	7/20/2011	12/13/2011
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	4/25/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/10/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/6/2021
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/13/2017
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/13/2017
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/20/2011	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/20/2011	10/5/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/13/2011	10/6/2012
Active	SilverScript Insurance Company	663526	Agent - Health	3/30/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	11/19/2010
Active	United of Omaha Life Insurance Company	300156	Agent - Life	11/19/2010
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/23/2015
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/10/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/10/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015

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	8/1/2007	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/1/2007	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	12/30/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	12/30/2009
Inactive	Medlink Inc	400721	Agent - Life	8/21/2007	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	8/21/2007	3/31/2024