DEPARTMENT OF INSURANCE

Affiliations

Name	InsureMonkey, Inc	DOIID	700312	NAIC NPN	12913085

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/20/2009	3/31/2017
Inactive	Non Resident	Agent	Health	3/20/2009	3/31/2017
* 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	ALPHA Dental Programs, Inc.	635438	Agent - Health	2/12/2015	3/31/2017
Inactive	American Continental Insurance Company	643130	Agent - Health	7/18/2014	11/12/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	7/18/2014	11/12/2014
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	5/28/2014	10/22/2014
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/1/2009	3/31/2017
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/1/2009	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/1/2009	3/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/1/2009	3/31/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	3/31/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/29/2014	3/31/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	1/29/2014	3/31/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/8/2013	3/31/2017
Inactive	Dentegra Insurance Company	300462	Agent - Health	2/12/2015	3/31/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/15/2009	4/4/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/15/2009	4/4/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/8/2013	3/31/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/16/2009	3/31/2017
Inactive	Humana Insurance Company	301104	Agent - Health	4/16/2009	3/31/2017
Inactive	Humana Insurance Company	301104	Agent - Life	4/16/2009	3/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/16/2009	3/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/16/2009	3/31/2017
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/16/2009	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/16/2009	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/8/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/8/2013	10/22/2015
Inactive	Time Insurance Company	300683	Agent - Health	1/7/2011	3/31/2017
Inactive	Time Insurance Company	300683	Agent - Life	1/7/2011	3/31/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/31/2014	3/6/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	3/6/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/31/2014	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	3/6/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jarcik, Kurt M	703480	Agent - Health	5/15/2009	3/31/2017
Inactive	Jarcik, Kurt M	703480	Agent - Life	5/15/2009	3/31/2017
Inactive	Rivlin, Alex Jared	651775	Agent - Health	3/20/2009	9/8/2010
Inactive	Rivlin, Alex Jared	651775	Agent - Life	3/20/2009	9/8/2010