PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameConcentrix Cvg Cmg Insurance Services LlcDOIID811724NAIC NPN16145520
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty12/5/2017 3/31/2027
ActiveNon ResidentAgentLife8/30/2022 3/31/2027
ActiveNon ResidentAgentProperty12/5/2017 3/31/2027
ActiveNon ResidentAgentHealth8/30/2022 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/5/20131/12/2022
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/30/20225/18/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/30/20225/18/2023
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/30/202212/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/19/201612/19/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/30/20225/18/2023
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHolley, Jay T 937597Agent - Health2/22/20171/12/2022
InactiveHolley, Jay T 937597Agent - Life5/3/20171/12/2022
InactiveKowalczyk, Christine A 828087Agent - Health11/7/20143/10/2017
ActiveMitchell, Jacob 939971Agent - Casualty6/10/2022 
ActiveMitchell, Jacob 939971Agent - Health8/30/2022 
ActiveMitchell, Jacob 939971Agent - Life8/30/2022 
ActiveMitchell, Jacob 939971Agent - Property6/10/2022 
InactiveStephens, Donald Wayne 391225Agent - Health6/5/201311/11/2014

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