DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mac Insurance Group	DOIID	1341303	NAIC NPN	21082831

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/21/2024	3/31/2026
Inactive	Non Resident	Agent	Life	5/21/2024	3/31/2026
* 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	5/28/2024	3/31/2026
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/28/2024	3/31/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/28/2024	3/31/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/23/2024	3/31/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/9/2024	5/20/2026
Inactive	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/13/2024	3/31/2026
Inactive	Humana Insurance Company	301104	Agent - Health	7/9/2024	3/31/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/28/2024	3/31/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/9/2024	5/20/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/9/2024	5/20/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/20/2024	3/31/2026
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/20/2024	3/31/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hussein, Mongoth	1222779	Agent - Health	5/21/2024	3/31/2026
Inactive	Hussein, Mongoth	1222779	Agent - Life	5/21/2024	3/31/2026