DEPARTMENT OF INSURANCE

Affiliations

Name	Platinum Choice Healthcare LLC	DOIID	908071	NAIC NPN	17795507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/21/2017	3/31/2026
Active	Non Resident	Agent	Life	1/4/2023	3/31/2026
* 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	ACE American Insurance Company	300625	Agent - Health	10/4/2016	12/1/2016
Inactive	AXIS Insurance Company	301290	Agent - Health	6/2/2016	12/1/2016
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	9/24/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/28/2018	9/18/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/1/2019	9/24/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020	9/18/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/13/2018	9/18/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/13/2018	11/2/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	8/1/2019	9/24/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	3/16/2017	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	3/16/2017	12/21/2018
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	12/8/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/5/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	12/2/2022	5/11/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/3/2017	7/15/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/3/2017	7/15/2020
Active	Companion Life Insurance Company	300191	Agent - Health	5/2/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/1/2019	9/24/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/5/2016	12/13/2016
Active	Elips Life Insurance Company	301087	Agent - Health	4/14/2022
Inactive	Federal Insurance Company	301144	Agent - Health	6/20/2019	12/15/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/5/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/24/2018	4/8/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/5/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	1/16/2018	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Life	7/5/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/5/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/5/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/5/2016	12/13/2016
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	2/8/2018	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	2/8/2018	12/21/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/22/2020	2/17/2023
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	5/31/2016	12/1/2016
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	6/5/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/17/2019	9/18/2024
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	3/29/2017	12/27/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	3/29/2017	12/27/2018
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	1/2/2018	4/13/2018
Denied	Unified Life Insurance Company	543169	Agent - Health
Inactive	United American Insurance Company	300910	Agent - Health	3/23/2017	2/9/2021
Inactive	United American Insurance Company	300910	Agent - Life	3/23/2017	2/9/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/2/2022	5/11/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/5/2018	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	12/2/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/3/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/2/2022	5/11/2023
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/21/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/21/2024
Active	Western United Life Insurance Company	659052	Agent - Health	2/27/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bock, Frederick Stephen	917538	Agent - Health	2/21/2017	11/2/2022
Inactive	Bock, Frederick Stephen	917538	Agent - Life	2/21/2017	11/2/2022
Inactive	Corriette, Lindsey Himmler	835601	Agent - Health	2/29/2016	9/30/2016
Inactive	Corriette, Lindsey Himmler	835601	Agent - Life	2/29/2016	9/30/2016
Active	Jaffy, Gregg	913200	Agent - Health	11/2/2022
Active	Jaffy, Gregg	913200	Agent - Life	11/2/2022