DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Life	8/21/2011		3/31/2027
Active	Non Resident	Agent	Health	8/21/2011		3/31/2027
* 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	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