black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID KIMACK

PRODUCER NON-RESIDENT

License Number:
PRN360845
Status:
First Licensure:
09/11/2020
Cancel Date:
None

Mailing:
INDIANAPOLIS, IN 46256
Phone:
+1 (317) 828-9907
Fax:
+1 (317) 828-9907
Email:
djkimack@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/11/2020

Agency

Name Issue Date License Number Expiration Date Cancel Date
ASSURANCE IQ LLC
03/11/2024 AGN270226 06/07/2024
EHEALTHINSURANCE SERVICES INC
10/01/2020 AGN68778 11/17/2023
PLATINUM SHIELD INSURANCE LLC
11/21/2024 AGN501983 06/30/2025
PLATINUM SHIELD INSURANCE LLC
01/05/2026 AGN501983

Employer

Name Issue Date License Number Expiration Date Cancel Date
ACE PROPERTY & CASUALTY INSURANCE COMPANY
12/20/2024 PCF44
AETNA HEALTH INC
06/06/2022 HMD45749
AMH HEALTH PLANS OF MAINE, INC.
05/24/2022 LHD353013 05/06/2024
AMH HEALTH PLANS OF MAINE, INC.
05/21/2024 LHD353013
AMH HEALTH, LLC
09/15/2020 HMD329485 05/06/2024
AMH HEALTH, LLC
05/21/2024 HMD329485
ANTHEM HEALTH PLANS OF MAINE INC.
09/15/2020 LHD70566
ANTHEM INSURANCE COMPANIES INC
05/24/2022 LHF125537 05/06/2024
ANTHEM INSURANCE COMPANIES INC
05/21/2024 LHF125537 02/18/2026
ARCADIAN HEALTH PLAN INC
02/14/2022 HMF112421 08/10/2023
CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE COMPANY
07/20/2021 LHF214634 01/23/2026
EMPIRE HEALTHCHOICE HMO, INC.
05/24/2022 HMF285382 05/06/2024
EMPIRE HEALTHCHOICE HMO, INC.
05/21/2024 HMF285382 07/01/2025
HUMANA INSURANCE COMPANY
06/01/2021 LHF980 08/10/2023
INSURANCE COMPANY OF NORTH AMERICA
12/01/2025 PCF480
SIERRA HEALTH AND LIFE INSURANCE COMPANY INC.
09/28/2020 LHF58195 07/24/2025
UNITEDHEALTHCARE INSURANCE COMPANY
09/28/2020 LHF700 07/24/2025
UNITEDHEALTHCARE INSURANCE COMPANY OF AMERICA
09/28/2020 LHF983 12/28/2021

Authority

Description Issue Date Termination Date Status
HEALTH 09/11/2020 Active

Responsible For

Name License Number
PLATINUM SHIELD INSURANCE LLC AGN501983

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19632973

Other Addresses

Address Type
INDIANAPOLIS, IN 46256
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 04/22/2026 02:04:59 AM