DEPARTMENT OF INSURANCE

Affiliations

Name	Haberkorn, David C	DOIID	864862	NAIC NPN	7763844

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	1/6/2015	8/31/2025
Active	Non Resident	Agent	Life	1/6/2015	8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	10/14/2019
Active	All Savers Insurance Company	301940	Agent - Life	10/14/2019
Active	American General Life Insurance Company	301585	Agent - Health	1/12/2024
Active	American General Life Insurance Company	301585	Agent - Life	1/12/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/29/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/29/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/29/2023	4/15/2025
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/19/2015	12/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/3/2016	12/13/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/19/2015	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/19/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/16/2020	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	1/14/2020	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Life	2/19/2015	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/14/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/14/2020	12/15/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/19/2015	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/15/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/19/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/19/2015	10/22/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/3/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	7/3/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/18/2021	7/19/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/3/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/3/2023
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/18/2021	7/19/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance Agency LTD	552246	Agent - Health	3/12/2015	4/29/2019
Inactive	Assurance Agency LTD	552246	Agent - Life	3/12/2015	6/15/2018
Active	Dental Choice Agency Inc.	398085	Agent - Health	4/8/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/5/2015	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/5/2015	11/2/2016
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	9/30/2020
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	9/30/2020