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DEPARTMENT OF INSURANCE
Affiliations
Name
Klemin, John R
DOIID
812275
NAIC NPN
9369819
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
6/12/2013
12/31/2025
Active
Non Resident
Agent
Health
6/12/2013
12/31/2025
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
3/5/2014
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
8/6/2020
Active
Aetna Life Insurance Company
301140
Agent - Health
3/5/2014
Active
Aetna Life Insurance Company
301140
Agent - Life
3/5/2014
Active
American Financial Security Life Insurance Co.
301635
Agent - Health
11/18/2019
Inactive
American General Life Insurance Company
301585
Agent - Health
8/11/2013
1/23/2022
Inactive
American General Life Insurance Company
301585
Agent - Life
8/11/2013
1/23/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Health
4/17/2014
12/10/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Life
4/17/2014
12/10/2020
Inactive
Assurity Life Insurance Company
301099
Agent - Health
7/6/2014
12/20/2018
Inactive
Assurity Life Insurance Company
301099
Agent - Life
7/6/2014
12/20/2018
Inactive
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
3/26/2023
7/14/2023
Active
CareSource Kentucky Co.
838179
Agent - Health
11/2/2022
Inactive
Catlin Insurance Company, Inc.
300979
Agent - Health
3/30/2015
11/19/2018
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
7/10/2013
3/14/2019
Active
Dental Concern Inc. (The)
301641
Agent - Health
7/10/2013
Inactive
Federal Insurance Company
301144
Agent - Health
7/17/2017
11/18/2020
Active
Golden Rule Insurance Company
301943
Agent - Health
8/2/2013
Active
Golden Rule Insurance Company
301943
Agent - Life
8/2/2013
Inactive
HCC Life Insurance Company
301827
Agent - Health
10/19/2016
6/12/2017
Active
Humana Health Plan, Inc.
300142
Agent - Health
7/10/2013
Active
Humana Insurance Company
301104
Agent - Health
12/11/2020
Active
Humana Insurance Company of Kentucky
300826
Agent - Health
7/10/2013
Active
Humana Insurance Company of Kentucky
300826
Agent - Life
7/10/2013
Inactive
Kanawha Insurance Company
300127
Agent - Health
7/10/2013
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
7/10/2013
10/22/2015
Active
SilverScript Insurance Company
663526
Agent - Health
7/21/2019
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Health
4/7/2017
12/26/2018
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Life
4/7/2017
12/26/2018
Inactive
Time Insurance Company
300683
Agent - Health
10/30/2013
11/22/2019
Inactive
Time Insurance Company
300683
Agent - Life
10/30/2013
11/22/2019
Inactive
Unified Life Insurance Company
543169
Agent - Health
8/10/2015
12/12/2017
Active
United States Fire Insurance Company
582240
Agent - Health
8/18/2014
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
11/2/2021
7/14/2023
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
11/2/2021
12/22/2022
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
11/12/2015
11/4/2016
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
11/12/2015
11/4/2016
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
11/2/2021
12/23/2021
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
11/2/2021
7/14/2023
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
4/17/2014
12/11/2020
Inactive
Designated Agent Company Inc.
681257
Agent - Health
4/17/2014
12/11/2020
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Health
1/2/2020
4/20/2022
Active
Pacific Benefits Group NW LLC
650001
Agent - Life
12/3/2013
Active
Pacific Benefits Group NW LLC
650001
Agent - Health
12/3/2013
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