DEPARTMENT OF INSURANCE

Affiliations

Name	Kim, Ji Sung	DOIID	791830	NAIC NPN	16784155

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/23/2018	6/30/2026
Active	Non Resident	Agent	Life	10/23/2018	6/30/2026
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019	1/8/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/20/2018
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/14/2021	1/8/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019	1/8/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	11/20/2018	8/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2012	6/30/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2012	6/30/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/28/2013	6/30/2016
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/20/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/24/2013	6/30/2016
Inactive	Federal Insurance Company	301144	Agent - Health	6/5/2019	11/11/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/24/2019	11/30/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/24/2019	11/30/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/28/2013	6/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/28/2013	6/30/2016
Inactive	Humana Insurance Company	301104	Agent - Health	1/24/2013	6/30/2016
Inactive	Humana Insurance Company	301104	Agent - Life	1/24/2013	6/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/24/2013	6/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/24/2013	6/30/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/22/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/22/2013	10/22/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	1/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/1/2012	6/30/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/1/2012	6/30/2016
Active	Gohealth LLC	691445	Agent - Health	2/16/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/16/2019	1/25/2023