DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kohorst, Jacquelin L	DOIID	952655	NAIC NPN	18233321

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/28/2017		9/30/2026
Active	Non Resident	Agent	Health	4/28/2017		9/30/2026
* 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	07/15/2024	09/30/2024	08/01/2024	08/01/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	6/28/2017	10/10/2019
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	4/10/2019
Active	American Financial Security Life Insurance Co.	301635	Agent - Life	3/25/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/7/2024
Active	Federal Insurance Company	301144	Agent - Health	1/27/2022
Active	Federal Life Insurance Company	300945	Agent - Health	4/27/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/28/2021	4/8/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	12/1/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	12/1/2021
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/26/2021	12/15/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	11/3/2021	10/18/2022
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/30/2021	11/13/2023
Active	Unified Life Insurance Company	543169	Agent - Health	10/13/2021
Active	United States Fire Insurance Company	582240	Agent - Health	3/29/2018
Active	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	7/26/2024
Active	Wellfleet Insurance Company	300542	Agent - Health	10/18/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	12/7/2018	4/20/2022