DEPARTMENT OF INSURANCE
Affiliations
NameOld IM Co, Inc.DOIID1096737NAIC NPN19632019
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/4/2020 3/31/2026
ActiveNon ResidentAgentProperty10/7/2022 3/31/2026
ActiveNon ResidentAgentHealth9/4/2020 3/31/2026
ActiveNon ResidentAgentCasualty10/7/2022 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health2/4/2021 
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/4/2021 
ActiveAetna Life Insurance Company301140Agent - Health2/4/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/16/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/17/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health6/9/20214/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life6/9/20214/15/2025
InactiveAssurity Life Insurance Company301099Agent - Health3/8/202112/20/2022
InactiveAssurity Life Insurance Company301099Agent - Life3/8/202112/20/2022
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty12/14/202211/16/2023
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property12/14/202211/16/2023
ActiveCIGNA Health & Life Insurance Company301783Agent - Health2/16/2021 
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20222/4/2025
ActiveCareSource Kentucky Co.838179Agent - Health10/20/2020 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveElips Life Insurance Company301087Agent - Health4/21/202212/18/2024
ActiveGolden Rule Insurance Company301943Agent - Health2/3/2021 
ActiveGolden Rule Insurance Company301943Agent - Life2/3/2021 
InactiveHealthSpring National Health Insurance Company300235Agent - Health6/26/20231/9/2025
ActiveHealthspring Healthcare of Colorado, Inc.1098153Agent - Health11/21/2022 
InactiveLumico Life Insurance Company300354Agent - Health12/28/202111/1/2022
InactiveLumico Life Insurance Company300354Agent - Life12/28/202112/3/2024
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health8/9/2023 
ActiveNational Health Insurance Company300554Agent - Health11/3/2020 
ActiveNational Health Insurance Company300554Agent - Life11/3/2020 
InactiveSAFECO Insurance Company of America300159Agent - Casualty4/4/20233/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property4/4/20233/29/2024
ActiveSilverScript Insurance Company663526Agent - Health2/4/2021 
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty12/14/202211/16/2023
InactiveStandard Fire Insurance Company (The)301068Agent - Property12/14/202211/16/2023
InactiveThe Phoenix Insurance Company301502Agent - Casualty12/14/202211/16/2023
InactiveThe Phoenix Insurance Company301502Agent - Property12/14/202211/16/2023
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty12/14/202211/16/2023
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property12/14/202211/16/2023
ActiveUnited States Fire Insurance Company582240Agent - Casualty8/25/2023 
ActiveUnited States Fire Insurance Company582240Agent - Health8/25/2023 
ActiveUnited States Fire Insurance Company582240Agent - Property8/25/2023 
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/9/20202/4/2025
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/9/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/9/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/9/20202/4/2025
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health4/8/2022 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health5/12/2021 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/8/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBorowski, Jimmy Clay 1231056Agent - Casualty10/7/2022 
ActiveBorowski, Jimmy Clay 1231056Agent - Property10/7/2022 
ActivePequeno, John P 685298Agent - Health9/4/2020 
ActivePequeno, John P 685298Agent - Life9/4/2020 

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