DEPARTMENT OF INSURANCE

Affiliations

Name	Gaponenko, Sergei V	DOIID	966177	NAIC NPN	3429740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/22/2018	1/31/2025
Active	Non Resident	Agent	Health	9/1/2017	1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	1/17/2018	10/10/2019
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/19/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/11/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	2/19/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	3/13/2018
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	1/15/2018	2/12/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	4/12/2018	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	4/12/2018	12/23/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/14/2018	7/6/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/14/2018	7/6/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/8/2018	8/8/2022
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/13/2019	8/8/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/8/2018	8/8/2022
Active	First Health Life & Health Insurance Company	301735	Agent - Health	2/19/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/8/2018	8/8/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/5/2018	8/8/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/8/2018	8/8/2022
Inactive	Humana Insurance Company	301104	Agent - Health	2/8/2018	8/8/2022
Inactive	Humana Insurance Company	301104	Agent - Life	5/8/2018	8/8/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/8/2018	8/8/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/8/2018	8/8/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/8/2018	8/8/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/8/2018	8/8/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/7/2017	12/21/2017
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/27/2018	7/8/2020
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/28/2017	6/13/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	12/28/2017	6/13/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/28/2017	6/13/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/31/2020	5/30/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/31/2020	12/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	3/14/2018
Active	Designated Agent Company Inc.	681257	Agent - Life	3/14/2018
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/20/2018	3/26/2019
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019	7/21/2023