DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	KYMD LLC DBA : Kymd, Commonwealth Business Insurance	DOIID	707535	NAIC NPN	14170116

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/11/2009	3/31/2011
Inactive	Resident	Agent	Health	6/19/2009	3/31/2011
* 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	Humana Health Plan, Inc.	300142	Agent - Health	7/8/2009	3/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	7/8/2009	3/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	7/8/2009	3/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/8/2009	3/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/8/2009	3/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/8/2009	3/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/8/2009	3/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/8/2009	3/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/8/2009	3/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/23/2009	3/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/23/2009	3/31/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/23/2009	3/31/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/23/2009	3/31/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wareham, John	704592	Agent - Health	7/1/2010	3/31/2011
Inactive	Wareham, John	704592	Agent - Life	6/11/2009	3/31/2011