DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Health Ins Alliance LLC	DOIID	969545	NAIC NPN	18543879

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/27/2017		3/31/2027
Active	Non Resident	Agent	Life	9/27/2017		3/31/2027
* 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
Active	5 Star Life Insurance Company	300673	Agent - Health	10/26/2017
Active	5 Star Life Insurance Company	300673	Agent - Life	10/26/2017
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	2/10/2021
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/12/2018	4/3/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/12/2018	4/3/2023
Inactive	Federal Insurance Company	301144	Agent - Health	6/20/2019	11/7/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Palterovich, Mark	917511	Agent - Health	9/27/2017
Active	Palterovich, Mark	917511	Agent - Life	9/27/2017