DEPARTMENT OF INSURANCE

Affiliations

Name	Platinum Choice Healthcare LLC	DOIID	908071	NAIC NPN	17795507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/21/2017	3/31/2026
Active	Non Resident	Agent	Life	1/4/2023	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Health	10/4/2016	12/1/2016
Inactive	AXIS Insurance Company	301290	Agent - Health	6/2/2016	12/1/2016
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	9/24/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/28/2018	9/18/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/1/2019	9/24/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020	9/18/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/13/2018	9/18/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/13/2018	11/2/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	8/1/2019	9/24/2020
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	3/16/2017	12/21/2018
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	3/16/2017	12/21/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/8/2020	12/12/2024
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/5/2019
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	12/2/2022	5/11/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	5/3/2017	7/15/2020
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	5/3/2017	7/15/2020
Active	Companion Life Insurance Company	300191	Agent - Health	5/2/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/1/2019	9/24/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/5/2016	12/13/2016
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	1/23/2025
Inactive	Federal Insurance Company	301144	Agent - Health	6/20/2019	12/15/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	5/27/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	5/27/2025
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/5/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/24/2018	4/8/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/5/2016	12/13/2016
Inactive	Humana Insurance Company	301104	Agent - Health	1/16/2018	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Life	7/5/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/5/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/5/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/5/2016	12/13/2016
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	2/8/2018	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	2/8/2018	12/21/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/22/2020	2/17/2023
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	5/31/2016	12/1/2016
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	6/5/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/17/2019	9/18/2024
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	3/29/2017	12/27/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	3/29/2017	12/27/2018
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	1/2/2018	4/13/2018
Denied	Unified Life Insurance Company	543169	Agent - Health
Inactive	United American Insurance Company	300910	Agent - Health	3/23/2017	2/9/2021
Inactive	United American Insurance Company	300910	Agent - Life	3/23/2017	2/9/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/2/2022	5/11/2023
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/5/2018	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	12/2/2022	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/3/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/2/2022	5/11/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	6/21/2024	2/28/2025
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	6/21/2024	3/1/2025
Active	Western United Life Insurance Company	659052	Agent - Health	2/27/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bock, Frederick Stephen	917538	Agent - Health	2/21/2017	11/2/2022
Inactive	Bock, Frederick Stephen	917538	Agent - Life	2/21/2017	11/2/2022
Inactive	Corriette, Lindsey Himmler	835601	Agent - Health	2/29/2016	9/30/2016
Inactive	Corriette, Lindsey Himmler	835601	Agent - Life	2/29/2016	9/30/2016
Active	Jaffy, Gregg	913200	Agent - Health	11/2/2022
Active	Jaffy, Gregg	913200	Agent - Life	11/2/2022