DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Audomo Insurance Services Llc	DOIID	1140089	NAIC NPN	19885813

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/16/2021	7/8/2025
Inactive	Non Resident	Agent	Life	6/16/2021	7/8/2025
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	5/24/2022	6/26/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/24/2022	6/26/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/24/2022	6/26/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	2/17/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/24/2022	6/26/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/5/2022	2/17/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/5/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/5/2022	2/17/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Penney, Michael	1086931	Agent - Health	5/13/2025	7/8/2025
Pending	Penney, Michael	1086931	Agent - Life
Inactive	Walkiewicz, Rafal	1132115	Agent - Health	6/16/2021	6/26/2025
Inactive	Walkiewicz, Rafal	1132115	Agent - Life	6/16/2021	7/8/2025