DEPARTMENT OF INSURANCE

Affiliations

Name	Solomon, Jacob	DOIID	987449	NAIC NPN	18725567

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/20/2018		6/30/2027
* 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	04/15/2025	06/30/2025	04/15/2025	04/15/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	5/2/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/13/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	5/2/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/8/2019
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/29/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/2/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/17/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/13/2020
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/11/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	2/24/2024
Active	Healthspring Healthcare of Colorado, Inc.	1098153	Agent - Health	11/29/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/13/2022	12/12/2024
Active	Medico Insurance Company	301559	Agent - Health	2/19/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	3/18/2025
Active	SilverScript Insurance Company	663526	Agent - Health	5/2/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/23/2020
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/23/2020	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/23/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/23/2020
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/12/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/10/2020	12/29/2021

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 - Health	1/8/2019	2/11/2025
Active	True Choice LLC	1044126	Agent - Health	6/17/2019