DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilcox, Richard D	DOIID	1054090	NAIC NPN	2009687

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/30/2019		10/31/2026
Active	Non Resident	Agent	Health	8/30/2019		10/31/2026
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Companion Life Insurance Company	300191	Agent - Health	9/25/2019
Active	Companion Life Insurance Company	300191	Agent - Life	9/25/2019
Inactive	United States Fire Insurance Company	582240	Agent - Health	8/28/2020	10/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurasource Inc	1039079	Agent - Life	6/9/2020	11/11/2024
Inactive	Insurasource Inc	1039079	Agent - Health	6/9/2020	11/11/2024