DEPARTMENT OF INSURANCE

Affiliations

Name	Klimchak, John R	DOIID	658264	NAIC NPN	766970

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/25/2007	1/31/2026
Active	Non Resident	Agent	Life	6/25/2007	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Active	All Savers Insurance Company	301940	Agent - Health	2/15/2024
Active	All Savers Insurance Company	301940	Agent - Life	2/15/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	6/30/2021	6/8/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	6/30/2021	6/8/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/23/2021	7/24/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/23/2021	7/24/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/5/2016	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/5/2016	4/15/2025
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/12/2013	11/30/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	7/20/2011	12/13/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	7/20/2011	12/13/2011
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	4/25/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/10/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/6/2021	1/6/2025
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/13/2017
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/13/2017
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/23/2021	7/24/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/20/2011	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/20/2011	10/5/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/13/2011	10/6/2012
Active	SilverScript Insurance Company	663526	Agent - Health	3/30/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	11/19/2010
Active	United of Omaha Life Insurance Company	300156	Agent - Life	11/19/2010
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	4/23/2015
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/23/2015
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/10/2022	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/10/2022	12/17/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/1/2007	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/1/2007	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	12/30/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	12/30/2009
Inactive	Medlink Inc	400721	Agent - Life	8/21/2007	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	8/21/2007	3/31/2024