PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAdeka, Iterra DOIID1157653NAIC NPN20018854
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth9/9/20212/29/2024 
InactiveNon ResidentAgentLife9/9/20212/29/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health10/8/20214/10/2023
InactiveAccendo Insurance Company300312Agent - Life10/8/20214/10/2023
InactiveAetna Health Inc. (PA)660717Agent - Health11/12/20212/29/2024
InactiveAetna Health and Life Insurance Company300523Agent - Health10/8/20214/10/2023
InactiveAetna Health of Ohio Inc.1065035Agent - Health11/12/20212/29/2024
InactiveAetna Life Insurance Company301140Agent - Health11/12/20212/29/2024
InactiveChesapeake Life Insurance Company (The)301017Agent - Health9/20/20214/17/2023
InactiveChesapeake Life Insurance Company (The)301017Agent - Life9/20/20214/17/2023
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health10/8/20214/10/2023
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life10/8/20214/10/2023
InactiveLumico Life Insurance Company300354Agent - Health10/12/202112/22/2022
InactiveSilverScript Insurance Company663526Agent - Health11/12/20212/29/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSmart Match Insurance Agency LLC829381Agent - Life10/8/202110/31/2022
InactiveSmart Match Insurance Agency LLC829381Agent - Health10/8/202110/31/2022

© Commonwealth of Kentucky. All rights reserved.