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	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXA XL Insurance Company Americas	300979	Agent - Health	3/30/2015	11/19/2018
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
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/2/2022	2/7/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/10/2013	3/14/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/10/2013	4/11/2025
Inactive	Federal Insurance Company	301144	Agent - Health	7/17/2017	11/18/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/2/2013	1/2/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/2/2013	1/2/2025
Inactive	HCC Life Insurance Company	301827	Agent - Health	10/19/2016	6/12/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/10/2013	4/11/2025
Inactive	Humana Insurance Company	301104	Agent - Health	12/11/2020	4/11/2025
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/10/2013	4/11/2025
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/10/2013	4/11/2025
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
Inactive	Mid Mountain Insurance Agency, LLC	650001	Agent - Life	12/3/2013	12/10/2024
Inactive	Mid Mountain Insurance Agency, LLC	650001	Agent - Health	12/3/2013	12/10/2024