DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Supervielle, Sergio Gilbert	DOIID	712783	NAIC NPN	7926005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/4/2019	8/31/2022
Inactive	Non Resident	Agent	Life	11/4/2019	8/31/2022
Denied	Non Resident	Life & Health Consultant	Not Applicable
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	8/31/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/6/2020	8/31/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	3/6/2020	12/6/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/9/2019	1/16/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/29/2020	5/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/29/2020	5/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/29/2020	5/11/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	8/11/2020	12/1/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2020	8/31/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	2/5/2020	9/28/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	2/5/2020	9/28/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/6/2020	5/28/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/6/2020	5/28/2021
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	4/27/2020	8/31/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/11/2019	1/31/2020
Inactive	Pioneer Security Life Insurance Company	301344	Agent - Life	1/28/2020	8/31/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/20/2019	12/28/2021
Inactive	Trinity Life Insurance Company	552459	Agent - Life	4/23/2020	8/31/2022
Inactive	United Home Life Insurance Company	300421	Agent - Life	12/24/2019	10/14/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	11/22/2019	4/18/2022