DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Goltz, Kenneth	DOIID	1062086	NAIC NPN	125135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/22/2019		8/31/2026
Active	Non Resident	Agent	Health	10/22/2019		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	10/15/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/26/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/15/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	2/26/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	10/15/2020	8/11/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/21/2022	12/21/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/26/2020	12/12/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/8/2020	6/20/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/26/2020	6/20/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/15/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/25/2020	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	4/3/2020	12/13/2022
Inactive	Independence American Insurance Company	524747	Agent - Health	12/16/2019	12/18/2020
Active	Madison National Life Insurance Company Inc.	301458	Agent - Health	12/16/2019
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/6/2023
Active	SilverScript Insurance Company	663526	Agent - Health	2/26/2020

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	3/2/2020	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/2/2020	2/10/2025