DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Klozotsky, Mikayla Leigh	DOIID	1214863	NAIC NPN	20066236

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/6/2022		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
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/7/2023	4/4/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	7/21/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/21/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	7/21/2022
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/18/2023	8/16/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/7/2024
Active	SilverScript Insurance Company	663526	Agent - Health	7/21/2022
Inactive	United States Fire Insurance Company	582240	Agent - Health	9/22/2022	12/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/18/2023	8/16/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/18/2023	8/16/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/27/2022	3/1/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior Savings Network, LLC	1001961	Agent - Health	5/17/2023	9/3/2024