PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameRoyal, Simone DOIID1212874NAIC NPN20368057
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth6/24/2022 4/30/2025
* 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
Agent02/15/202504/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health8/25/2022 
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health8/25/2022 
Pending ReplacementAetna Life Insurance Company301140Agent - Health8/25/2022 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/24/20222/15/2023
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health6/24/20222/15/2023
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/24/20222/15/2023
InactiveCompcare Health Services Insurance Corporation948751Agent - Health6/24/20222/15/2023
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/24/20221/6/2023
InactiveHumana Insurance Company301104Agent - Health11/21/20221/6/2023
Pending ReplacementSilverScript Insurance Company663526Agent - Health8/25/2022 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health8/13/20221/17/2023
InactiveWellCare Prescription Insurance Inc.654329Agent - Health8/13/20221/17/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealth Plan Intermediaries Holdings786463Agent - Health10/19/20221/31/2023
InactiveTogetherhealth Insurance LLC1026438Agent - Health11/14/20221/24/2023

© Commonwealth of Kentucky. All rights reserved.