DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kitlas, Kenneth	DOIID	936543	NAIC NPN	8943052

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/11/2016	7/31/2023
Inactive	Non Resident	Agent	Health	11/11/2016	7/31/2023
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/13/2018	7/31/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/13/2018	7/31/2023
Inactive	CareSource Kentucky Co.	838179	Agent - Health	4/25/2022	8/14/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/12/2017	8/2/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/12/2017	8/2/2023
Inactive	Independence American Insurance Company	524747	Agent - Health	8/18/2017	12/18/2020
Inactive	LifeShield National Insurance Company	737111	Agent - Health	8/20/2019	12/20/2021
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	6/16/2022	7/31/2023
Inactive	Pioneer American Insurance Company	301268	Agent - Life	11/4/2020	7/31/2023
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/5/2017	7/31/2023
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	10/5/2021	7/31/2023

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 - Life	11/13/2018	7/31/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/13/2018	7/31/2023
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	9/10/2019	4/22/2022