DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Platinum Enrollment Specialists LLC	DOIID	980990	NAIC NPN	17295409

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/9/2018	3/8/2021
Inactive	Non Resident	Agent	Life	1/9/2018	3/8/2021
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/16/2019	10/21/2019
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/16/2019	10/21/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/3/2018	1/24/2019
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/3/2018	1/24/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/17/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/17/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/17/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/17/2018	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/17/2018	12/10/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Feuer, Simcha	980684	Agent - Health	1/9/2018	3/8/2021
Inactive	Feuer, Simcha	980684	Agent - Life	1/9/2018	3/8/2021