DEPARTMENT OF INSURANCE

Affiliations

Name	Ins Services LLC	DOIID	873078	NAIC NPN	17500019

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	3/27/2015	3/31/2027
Active	Non Resident	Agent	Life	3/27/2015	3/31/2027
* 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	Accendo Insurance Company	300312	Agent - Health	7/18/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/22/2015
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/18/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	6/22/2015
Active	Aetna Life Insurance Company	301140	Agent - Life	6/22/2015
Active	Banner Life Insurance Company	301696	Agent - Life	12/6/2016
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	2/2/2023
Active	CareSource Kentucky Co.	838179	Agent - Health	1/17/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/16/2020	1/6/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/18/2023
Active	First Health Life & Health Insurance Company	301735	Agent - Health	6/22/2015
Inactive	Gateway Health Plan of Ohio, Inc.	833424	Agent - Health	3/30/2015	1/1/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	9/8/2023
Active	Golden Rule Insurance Company	301943	Agent - Life	9/8/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/19/2015	12/15/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/19/2015	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/19/2015	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	6/19/2015	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Life	6/19/2015	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/19/2015	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/19/2015	12/15/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/19/2015	12/15/2020
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/16/2015
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/16/2015
Pending Replacement	Paramount Care Inc.	1260849	Agent - Health	12/3/2024
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	9/7/2021	2/17/2025
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	9/7/2021	2/17/2025
Inactive	Reserve National Insurance Company	301073	Agent - Health	8/14/2017	3/13/2018
Inactive	Reserve National Insurance Company	301073	Agent - Life	8/14/2017	3/13/2018
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2019
Active	Tier One Insurance Company	301056	Agent - Health	5/22/2025
Active	Tier One Insurance Company	301056	Agent - Life	5/22/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/2/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	1/28/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	1/28/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/27/2015	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	2/2/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/5/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/5/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mikolajcik, Lawrence V	679630	Agent - Health	3/27/2015
Active	Mikolajcik, Lawrence V	679630	Agent - Life	3/27/2015