DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pribula, John Robert	DOIID	816756	NAIC NPN	8071841

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/17/2020		8/31/2025
Inactive	Non Resident	Agent	Life	8/13/2013	8/31/2015
* 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	06/15/2025	08/31/2025

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	10/12/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/12/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/11/2017	6/11/2019
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/7/2013	6/11/2014
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/11/2017	6/11/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/20/2018	6/11/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2017	6/11/2019
Inactive	Humana Insurance Company	301104	Agent - Health	10/23/2023	4/19/2024
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/17/2018	6/11/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/3/2023	4/19/2024
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/2/2018	6/11/2019
Active	SilverScript Insurance Company	663526	Agent - Health	10/12/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/11/2023	6/14/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	10/2/2013	4/11/2014
Denied	Alorica Customer Care, Inc.	800938	Agent - Life
Inactive	Clear Link Ins Agency LLC	805173	Agent - Health	11/10/2023	3/12/2024