DEPARTMENT OF INSURANCE
Affiliations
NamePotter, David ADOIID817992NAIC NPN17041152
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth9/5/2013 11/30/2024
ActiveResidentAgentCasualty3/9/2021 11/30/2024
ActiveResidentAgentLife1/28/2014 11/30/2024
ActiveResidentAgentProperty3/3/2021 11/30/2024
ActiveResidentIndependent AdjusterProperty & Casualty6/21/2023 11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202411/30/2024   
Independent Adjuster09/15/202411/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health9/15/2016 
ActiveAetna Health Insurance Company301583Agent - Health10/9/2014 
ActiveAetna Health and Life Insurance Company300523Agent - Health11/2/2019 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/16/2020 
ActiveAetna Life Insurance Company301140Agent - Health9/15/2016 
ActiveAetna Life Insurance Company301140Agent - Life7/14/2017 
InactiveAmerican Continental Insurance Company643130Agent - Life11/2/20198/11/2021
InactiveAmerican National Insurance Company301861Agent - Health3/29/20176/3/2021
ActiveAmerican National Insurance Company301861Agent - Life3/29/2017 
ActiveAmeritas Life Insurance Corporation300126Agent - Health1/31/2024 
InactiveAmeritas Life Insurance Corporation300126Agent - Life12/31/201610/26/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health10/13/2020 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/1/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health8/29/2014 
ActiveAnthem Life Insurance Company301209Agent - Life8/29/2014 
ActiveArcadian Health Plan, Inc.728196Agent - Health7/10/2023 
InactiveBanner Life Insurance Company301696Agent - Life3/20/201710/22/2020
InactiveBaptist Health Plan, Inc.300157Agent - Health10/1/20153/31/2019
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/1/2019 
InactiveCompBenefits Dental, Inc.591692Agent - Health3/11/201612/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health2/3/202112/13/2022
ActiveCompcare Health Services Insurance Corporation948751Agent - Health10/1/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health11/2/2019 
InactiveDental Concern Inc. (The)301641Agent - Health8/10/201812/10/2018
ActiveFirst Health Life & Health Insurance Company301735Agent - Health9/15/2016 
InactiveGuarantee Trust Life Insurance Company301043Agent - Health1/14/20151/3/2017
InactiveGuarantee Trust Life Insurance Company301043Agent - Life1/14/20151/3/2017
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/2014 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health9/9/201912/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health8/10/201812/10/2018
ActiveHumana Insurance Company301104Agent - Health9/14/2013 
ActiveHumana Insurance Company301104Agent - Life10/31/2014 
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/14/201312/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/26/201512/13/2022
ActiveHumana Medical Plan, Inc.801568Agent - Health10/16/2023 
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201612/13/2022
InactiveIndependence American Insurance Company524747Agent - Health2/10/202012/30/2022
InactiveKanawha Insurance Company300127Agent - Health9/14/201311/3/2015
InactiveKanawha Insurance Company300127Agent - Life5/26/201511/3/2015
InactiveMedico Corp Life Insurance Company301777Agent - Health12/28/20164/19/2018
InactiveMedico Corp Life Insurance Company301777Agent - Life12/28/20164/19/2018
InactiveMedico Insurance Company301559Agent - Health12/6/201712/26/2018
InactiveMedico Insurance Company301559Agent - Life12/6/201712/26/2018
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health3/18/2024 
InactiveOmaha Insurance Company751908Agent - Health1/23/20151/22/2016
InactiveSILAC Insurance Company300535Agent - Health10/16/201312/29/2015
InactiveSecurity Life Insurance Company of America300936Agent - Health10/19/201612/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life10/19/201612/31/2016
ActiveSilverScript Insurance Company663526Agent - Health8/26/2015 
ActiveStandard Life and Accident Insurance Company301534Agent - Health10/7/2016 
InactiveStandard Security Life Insurance Company of NY301487Agent - Health12/15/201612/27/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life12/15/201612/27/2018
InactiveThrivent Financial for Lutherans301101Agent - Health11/20/20168/24/2021
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/13/2019 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/13/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/13/201912/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/2019 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/2019 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health9/29/2021 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/10/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBluegrass Health Solutions, LLC1091148Agent - Life7/28/2020 
ActiveBluegrass Health Solutions, LLC1091148Agent - Health7/28/2020 
ActiveCool Insurance Group Agency841615Agent - Life3/19/2015 
ActiveCool Insurance Group Agency841615Agent - Health3/19/2015 
ActiveDental Choice Agency Inc.398085Agent - Health2/23/2015 
ActiveDesignated Agent Company Inc.681257Agent - Life8/29/2014 
ActiveDesignated Agent Company Inc.681257Agent - Health8/29/2014 
InactiveMedlink Inc400721Agent - Life11/4/20153/31/2024
InactiveMedlink Inc400721Agent - Health11/4/20153/31/2024
ActivePlanchoice Inc.400482Agent - Life8/12/2014 
ActivePlanchoice Inc.400482Agent - Health8/12/2014 

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