DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	DPKPSP LP	DOIID	761483	NAIC NPN	8860755

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/21/2011		3/31/2025
Active	Non Resident	Agent	Life	8/21/2011		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	8/26/2011	6/28/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	8/26/2011	6/28/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/22/2012	4/10/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/22/2012	4/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/22/2012	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	2/22/2012	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	2/22/2012	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/22/2012	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/22/2012	4/10/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/22/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/22/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/22/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/22/2012	10/22/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/1/2013	7/31/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/1/2013	7/31/2013
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/1/2013	7/31/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/1/2013	7/31/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Prescott, Daniel J	632661	Agent - Health	8/21/2011
Active	Prescott, Daniel J	632661	Agent - Life	8/21/2011