DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kim, Antwonne Demarkus	DOIID	914928	NAIC NPN	17934104

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/13/2019		2/28/2027
Inactive	Non Resident	Agent	Casualty	5/11/2016	2/28/2019
Inactive	Non Resident	Agent	Property	5/11/2016	2/28/2019
* 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	12/15/2024	02/28/2025	01/24/2025	01/24/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	6/1/2023	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/4/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/14/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/4/2020
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	6/6/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/2/2019	3/1/2021
Inactive	California Casualty General Insurance Company of Oregon	301081	Agent - Casualty	5/11/2016	2/28/2019
Inactive	California Casualty General Insurance Company of Oregon	301081	Agent - Property	5/11/2016	2/28/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/14/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/7/2020	11/25/2024
Active	SilverScript Insurance Company	663526	Agent - Health	5/4/2020
Active	Tier One Insurance Company	301056	Agent - Health	5/19/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/13/2019	1/20/2021
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	11/13/2019	1/20/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/13/2019	1/20/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	11/13/2019	1/20/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/2/2019	3/2/2021
Active	SelectQuote Insurance Services	533194	Agent - Health	7/14/2020