DEPARTMENT OF INSURANCE
Affiliations
NameKingdom Ins Group LlcDOIID792064NAIC NPN8503205
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/21/2012 3/31/2026
ActiveNon ResidentAgentHealth9/21/2012 3/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/25/2012 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/25/2012 
ActiveAetna Life Insurance Company301140Agent - Life10/25/2012 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/6/2022 
InactiveAnthem Life Insurance Company301209Agent - Health9/21/201512/10/2020
InactiveAnthem Life Insurance Company301209Agent - Life9/21/201512/10/2020
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2017 
InactiveBaltimore Life Insurance Company300286Agent - Health7/19/201311/17/2017
InactiveBaltimore Life Insurance Company300286Agent - Life7/19/20134/7/2017
ActiveBankers Fidelity Assurance Company554627Agent - Health4/23/2020 
ActiveBankers Fidelity Assurance Company554627Agent - Life4/23/2020 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health4/23/2020 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life4/23/2020 
ActiveCHA HMO, Inc.300662Agent - Health1/3/2024 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health9/18/2017 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health6/6/20143/14/2019
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveCoventry Health and Life Insurance Company301771Agent - Health9/17/2014 
ActiveDental Concern Inc. (The)301641Agent - Health6/6/2014 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health10/4/2024 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health8/10/2014 
InactiveGateway Health Plan of Ohio, Inc.833424Agent - Health11/18/20171/1/2019
ActiveGerber Life Insurance Company300529Agent - Health6/13/2022 
ActiveGerber Life Insurance Company300529Agent - Life6/13/2022 
InactiveGolden Rule Insurance Company301943Agent - Health9/2/20141/20/2018
InactiveGolden Rule Insurance Company301943Agent - Life9/2/20141/20/2018
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/18/2019 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health6/1/2020 
ActiveHumana Health Plan, Inc.300142Agent - Health6/6/2014 
ActiveHumana Insurance Company301104Agent - Health1/21/2014 
ActiveHumana Insurance Company301104Agent - Life6/6/2014 
ActiveHumana Insurance Company of Kentucky300826Agent - Health6/6/2014 
ActiveHumana Insurance Company of Kentucky300826Agent - Life6/6/2014 
ActiveHumana Medical Plan, Inc.801568Agent - Health12/6/2014 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/18/2019 
InactiveIndependent Order of Foresters300743Agent - Health9/24/201212/24/2024
InactiveIndependent Order of Foresters300743Agent - Life9/24/201212/24/2024
InactiveKanawha Insurance Company300127Agent - Health6/6/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/6/201410/22/2015
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health9/7/2021 
ActiveReserve National Insurance Company301073Agent - Health5/28/2013 
ActiveReserve National Insurance Company301073Agent - Life5/28/2013 
ActiveRoyal Neighbors of America301646Agent - Life5/11/2018 
ActiveSilverScript Insurance Company663526Agent - Health11/15/2019 
InactiveStandard Life and Accident Insurance Company301534Agent - Health7/17/201411/14/2022
InactiveStandard Life and Accident Insurance Company301534Agent - Life7/17/201411/14/2022
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/21/2012 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/21/201212/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/10/2015 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/2019 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health3/2/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveLewis, Zachary Seth 641702Agent - Health9/21/2012 
ActiveLewis, Zachary Seth 641702Agent - Life9/21/2012 

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