DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Kenneth D	DOIID	974366	NAIC NPN	17995923

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/25/2017	9/30/2026
Active	Non Resident	Agent	Health	10/25/2017	9/30/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/31/2017	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/31/2017	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/31/2017	7/8/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/9/2017	1/1/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/9/2017	1/1/2019
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/20/2018
Active	CHA HMO, Inc.	300662	Agent - Health	3/13/2024
Active	CompBenefits Insurance Company	301864	Agent - Health	11/13/2019
Active	Dental Concern Inc. (The)	301641	Agent - Health	7/20/2018
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/31/2017	7/8/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/20/2018
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/15/2018
Active	Humana Health Plan, Inc.	300142	Agent - Health	7/20/2018
Active	Humana Insurance Company	301104	Agent - Health	7/20/2018
Active	Humana Insurance Company	301104	Agent - Life	7/20/2018
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	7/20/2018
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	7/20/2018
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/20/2018
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/20/2018
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	4/5/2018	5/1/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/25/2017	5/22/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/25/2017	5/22/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/25/2017	5/22/2018

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	11/9/2017	1/2/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/9/2017	1/2/2019
Active	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019