DEPARTMENT OF INSURANCE
Affiliations
NameKingdom Ins Group LlcDOIID792064NAIC NPN8503205
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/21/2012 3/31/2026
ActiveNon ResidentAgentHealth9/21/2012 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/25/2012 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/24/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/25/2012 
ActiveAetna Life Insurance Company301140Agent - Life10/25/2012 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/6/2022 
InactiveAnthem Life Insurance Company301209Agent - Health9/21/201512/10/2020
InactiveAnthem Life Insurance Company301209Agent - Life9/21/201512/10/2020
ActiveArcadian Health Plan, Inc.728196Agent - Health10/18/2017 
InactiveBaltimore Life Insurance Company300286Agent - Health7/19/201311/17/2017
InactiveBaltimore Life Insurance Company300286Agent - Life7/19/20134/7/2017
ActiveBankers Fidelity Assurance Company554627Agent - Health4/23/2020 
ActiveBankers Fidelity Assurance Company554627Agent - Life4/23/2020 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health4/23/2020 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life4/23/2020 
ActiveCHA HMO, Inc.300662Agent - Health1/3/2024 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health9/18/2017 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health6/6/20143/14/2019
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2018 
ActiveCoventry Health and Life Insurance Company301771Agent - Health9/17/2014 
ActiveDental Concern Inc. (The)301641Agent - Health6/6/2014 
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health10/4/2024 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health8/10/2014 
InactiveGateway Health Plan of Ohio, Inc.833424Agent - Health11/18/20171/1/2019
ActiveGerber Life Insurance Company300529Agent - Health6/13/2022 
ActiveGerber Life Insurance Company300529Agent - Life6/13/2022 
InactiveGolden Rule Insurance Company301943Agent - Health9/2/20141/20/2018
InactiveGolden Rule Insurance Company301943Agent - Life9/2/20141/20/2018
ActiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/18/2019 
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health6/1/2020 
ActiveHumana Health Plan, Inc.300142Agent - Health6/6/2014 
ActiveHumana Insurance Company301104Agent - Health1/21/2014 
ActiveHumana Insurance Company301104Agent - Life6/6/2014 
ActiveHumana Insurance Company of Kentucky300826Agent - Health6/6/2014 
ActiveHumana Insurance Company of Kentucky300826Agent - Life6/6/2014 
ActiveHumana Medical Plan, Inc.801568Agent - Health12/6/2014 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health4/18/2019 
InactiveIndependent Order of Foresters300743Agent - Health9/24/201212/24/2024
InactiveIndependent Order of Foresters300743Agent - Life9/24/201212/24/2024
InactiveKanawha Insurance Company300127Agent - Health6/6/201410/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/6/201410/22/2015
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health9/7/2021 
ActiveReserve National Insurance Company301073Agent - Health5/28/2013 
ActiveReserve National Insurance Company301073Agent - Life5/28/2013 
ActiveRoyal Neighbors of America301646Agent - Life5/11/2018 
ActiveSilverScript Insurance Company663526Agent - Health11/15/2019 
InactiveStandard Life and Accident Insurance Company301534Agent - Health7/17/201411/14/2022
InactiveStandard Life and Accident Insurance Company301534Agent - Life7/17/201411/14/2022
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/21/2012 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/21/201212/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/10/2015 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/2019 
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health3/2/2022 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health4/7/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveLewis, Zachary Seth 641702Agent - Health9/21/2012 
ActiveLewis, Zachary Seth 641702Agent - Life9/21/2012 

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