DEPARTMENT OF INSURANCE

Affiliations

Name	Kim, Ji Sung	DOIID	791830	NAIC NPN	16784155

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/23/2018	6/30/2026
Active	Non Resident	Agent	Life	10/23/2018	6/30/2026
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019	1/8/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/20/2018
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/14/2021	1/8/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019	1/8/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	11/20/2018	8/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2012	6/30/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2012	6/30/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/28/2013	6/30/2016
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/20/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/24/2013	6/30/2016
Inactive	Federal Insurance Company	301144	Agent - Health	6/5/2019	11/11/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/24/2019	11/30/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/24/2019	11/30/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/28/2013	6/30/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/28/2013	6/30/2016
Inactive	Humana Insurance Company	301104	Agent - Health	1/24/2013	6/30/2016
Inactive	Humana Insurance Company	301104	Agent - Life	1/24/2013	6/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/24/2013	6/30/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/24/2013	6/30/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/22/2013	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/22/2013	10/22/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	1/8/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/1/2012	6/30/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/1/2012	6/30/2016
Active	Gohealth LLC	691445	Agent - Health	2/16/2024
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	4/16/2019	1/25/2023