DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Van Berg And Assoc Ins Marketing Inc	DOIID	738600	NAIC NPN	11904088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/22/2010		3/31/2026
Active	Non Resident	Agent	Health	11/22/2010		3/31/2026
Denied	Non Resident	Managing General Agent	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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	10/23/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	11/10/2011
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	11/10/2011
Active	Aetna Life Insurance Company	301140	Agent - Life	11/10/2011
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/29/2010	12/20/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/6/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/6/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/29/2010	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/29/2010	12/20/2022
Inactive	Clear Spring Health Insurance Company	301686	Agent - Health	10/5/2022	12/19/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/6/2021	12/20/2022
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	11/1/2022	12/24/2024
Active	First Health Life & Health Insurance Company	301735	Agent - Health	7/16/2018
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	12/18/2014	2/12/2019
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/26/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/6/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/6/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bergeron, Troy Ellis	704559	Agent - Health	11/22/2010
Active	Bergeron, Troy Ellis	704559	Agent - Life	11/22/2010