DEPARTMENT OF INSURANCE
Affiliations
NameMoniz, Kirt EdmundDOIID849780NAIC NPN17104847
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/18/2014 11/30/2025
ActiveNon ResidentAgentLife9/18/2014 11/30/2025
* 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
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health7/14/202311/17/2023
ActiveAetna Health Inc. (PA)660717Agent - Health10/3/2014 
ActiveAetna Health Insurance Company301583Agent - Health10/3/2014 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/25/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/3/2014 
ActiveAetna Life Insurance Company301140Agent - Life10/3/2014 
InactiveAmerican Retirement Life Insurance Company706303Agent - Health8/31/20154/10/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life8/31/20154/10/2018
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/21/201512/29/2017
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/24/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/24/2021 
InactiveAnthem Life Insurance Company301209Agent - Health7/10/20204/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life7/10/20204/15/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health10/26/202212/12/2024
ActiveCHA HMO, Inc.300662Agent - Health11/10/2023 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health9/18/2014 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life9/18/2014 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health7/21/20202/3/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health6/2/20166/8/2018
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/24/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/10/2019 
InactiveDental Concern Inc. (The)301641Agent - Health6/2/20166/8/2018
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/28/2024 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health10/3/2014 
ActiveGolden Rule Insurance Company301943Agent - Health12/18/2024 
ActiveGolden Rule Insurance Company301943Agent - Life12/18/2024 
ActiveGuardian Life Insurance Company of America301316Agent - Health12/15/2017 
ActiveGuardian Life Insurance Company of America301316Agent - Life12/15/2017 
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health10/16/2023 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/20142/11/2015
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health7/8/20152/23/2018
ActiveHumana Health Plan, Inc.300142Agent - Health12/29/2023 
InactiveHumana Insurance Company301104Agent - Health11/4/201912/12/2024
InactiveHumana Insurance Company301104Agent - Life7/9/20155/9/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/8/20156/8/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/9/20156/8/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/20142/11/2015
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20166/8/2018
InactiveKanawha Insurance Company300127Agent - Health7/8/201511/3/2015
InactiveKanawha Insurance Company300127Agent - Life7/8/201511/3/2015
InactiveLoyal American Life Insurance Company301172Agent - Health7/18/201812/27/2022
InactiveMedco Containment Life Insurance Company301557Agent - Health11/30/20206/25/2021
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health5/9/2025 
ActiveMonitor Life Insurance Company of New York1117550Agent - Health2/1/2023 
ActiveMonitor Life Insurance Company of New York1117550Agent - Life2/1/2023 
InactiveOmaha Health Insurance Company301296Agent - Health6/18/202112/27/2024
ActiveSilverScript Insurance Company663526Agent - Health9/29/2014 
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/22/2020 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health7/17/201812/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health7/22/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/22/202012/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/17/201512/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/22/2020 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health11/19/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDesignated Agent Company Inc.681257Agent - Health7/22/2019 
ActiveDesignated Agent Company Inc.681257Agent - Life7/22/2019 
ActiveExtend Insurance Services LLC625753Agent - Health7/1/2020 
ActiveExtend Insurance Services LLC625753Agent - Life7/1/2020 

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