DEPARTMENT OF INSURANCE
Affiliations
NameKormanik, Jason SDOIID747952NAIC NPN16121146
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/31/2018 2/28/2026
ActiveNon ResidentAgentLife8/31/2018 2/28/2026
* 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
Agent12/15/202502/28/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAXIS Insurance Company301290Agent - Health10/15/20195/19/2022
InactiveAccendo Insurance Company300312Agent - Life1/31/20238/1/2025
InactiveAetna Health Inc. (PA)660717Agent - Health7/19/20217/30/2024
InactiveAetna Health and Life Insurance Company300523Agent - Health1/31/20238/1/2025
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/19/20217/30/2024
InactiveAetna Life Insurance Company301140Agent - Health7/19/20217/30/2024
InactiveAetna Life Insurance Company301140Agent - Life3/18/20162/28/2018
InactiveAmerican Continental Insurance Company643130Agent - Life4/13/202012/18/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health6/19/20193/9/2020
InactiveAmerican General Life Insurance Company301585Agent - Health3/3/20162/28/2018
InactiveAmerican General Life Insurance Company301585Agent - Life3/3/20162/28/2018
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/29/2024 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/26/20213/10/2023
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/26/20213/10/2023
InactiveAnthem Life Insurance Company301209Agent - Health9/20/20184/5/2019
InactiveAnthem Life Insurance Company301209Agent - Life9/20/201812/16/2024
InactiveArcadian Health Plan, Inc.728196Agent - Health9/15/20211/6/2023
InactiveAspen American Insurance Company301513Agent - Health10/31/201912/14/2020
ActiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health11/26/2024 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health11/26/2024 
InactiveCIGNA Health & Life Insurance Company301783Agent - Life7/21/20162/28/2018
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health10/31/20222/21/2024
ActiveCareSource Kentucky Co.838179Agent - Health9/27/2024 
InactiveCompBenefits Dental, Inc.591692Agent - Health5/27/20154/6/2018
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/20213/10/2023
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health1/31/20238/1/2025
InactiveCoventry Health and Life Insurance Company301771Agent - Health3/18/20162/28/2018
InactiveDental Concern Inc. (The)301641Agent - Health5/27/20154/6/2018
ActiveGolden Rule Insurance Company301943Agent - Health3/25/2020 
ActiveGolden Rule Insurance Company301943Agent - Life3/25/2020 
InactiveHCC Life Insurance Company301827Agent - Health7/31/20156/12/2017
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/13/202312/12/2024
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/6/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health5/27/20154/6/2018
InactiveHumana Insurance Company301104Agent - Health2/13/202312/12/2024
InactiveHumana Insurance Company301104Agent - Life9/4/20154/6/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/27/20154/6/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/27/20154/6/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health3/2/20221/6/2023
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/13/20164/6/2018
InactiveIndependence American Insurance Company524747Agent - Health10/11/201812/18/2020
InactiveJohn Alden Life Insurance Company300573Agent - Health3/3/20115/17/2013
InactiveJohn Alden Life Insurance Company300573Agent - Life3/3/20115/17/2013
InactiveKanawha Insurance Company300127Agent - Health5/27/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life5/27/201510/22/2015
InactiveLifeShield National Insurance Company737111Agent - Health7/10/201912/21/2021
InactiveLumico Life Insurance Company300354Agent - Life4/11/20192/7/2024
ActiveMadison National Life Insurance Company Inc.301458Agent - Health10/17/2018 
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health12/27/20238/28/2024
ActiveS.USA Life Insurance Company, Inc.301774Agent - Life10/31/2023 
InactiveSilverScript Insurance Company663526Agent - Health7/19/20217/30/2024
ActiveTier One Insurance Company301056Agent - Health8/5/2024 
InactiveTier One Insurance Company301056Agent - Life8/5/202411/1/2024
InactiveTime Insurance Company300683Agent - Health3/3/20115/7/2015
InactiveTime Insurance Company300683Agent - Life3/3/20115/7/2015
InactiveUnified Life Insurance Company543169Agent - Health5/17/201910/21/2020
InactiveUnited States Fire Insurance Company582240Agent - Health12/30/20203/8/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Health10/31/20222/21/2024
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health10/31/202212/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health8/24/201511/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life8/24/201511/4/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/14/202112/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health10/19/20222/21/2024
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health2/7/20224/6/2023
InactiveWellCare Prescription Insurance Inc.654329Agent - Health7/19/202112/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life9/25/20182/10/2025
InactiveDesignated Agent Company Inc.681257Agent - Health2/28/20205/24/2021
DeniedHealth Plan Intermediaries Holdings786463Agent - Life  
InactiveHealth Plan Intermediaries Holdings786463Agent - Health6/12/20194/20/2022

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