DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Boukelif, Jason	DOIID	1013469	NAIC NPN	18284073

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/11/2024		10/31/2025
Inactive	Non Resident	Agent	Life	10/4/2018	10/31/2019
* 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	08/15/2025	10/31/2025

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	8/3/2024	3/28/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/3/2024	3/28/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/3/2024	3/28/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/2/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/2/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/17/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/2/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/19/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	10/5/2018	2/26/2019
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	10/5/2018	2/26/2019
Active	Golden Rule Insurance Company	301943	Agent - Health	3/26/2025
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/11/2025	3/20/2025
Inactive	Humana Insurance Company	301104	Agent - Health	8/19/2024	3/20/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/29/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/3/2024	3/28/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/17/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	10/16/2018	2/26/2019
Inactive	Ushealth Advisors Llc	713288	Agent - Health	10/16/2018	2/26/2019