DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kosmin, Terry Ellen	DOIID	737388	NAIC NPN	15913741

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/6/2017	5/31/2019
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/1/2010	5/31/2013
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2017	4/16/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/11/2017	4/16/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/11/2017	4/16/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/11/2017	4/16/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/8/2010	11/2/2012
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/11/2017	4/16/2019
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/2/2010	5/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	11/24/2010	5/31/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/1/2010	5/31/2013