DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Medicare Plan Partners LLC	DOIID	827145	NAIC NPN	17090278

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/8/2013	3/31/2019
Inactive	Non Resident	Agent	Life	11/8/2013	3/31/2019
* 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
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/6/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/6/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/6/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	6/6/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Life	6/6/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/6/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/6/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/6/2016	12/13/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/11/2016	4/6/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	4/6/2018
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/11/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/11/2016	4/6/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ellis, Jacob Austin	744257	Agent - Health	11/8/2013	3/31/2019
Inactive	Ellis, Jacob Austin	744257	Agent - Life	11/8/2013	3/31/2019