DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dortch, Maria Venice	DOIID	647820	NAIC NPN	9042112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/17/2021		2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	3/15/2022
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	3/2/2007	4/28/2009
Inactive	NGL Insurance Company	300596	Agent - Life	6/3/2008	12/29/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tucker Funeral Home Inc.	399110	Agent - Life	3/5/2024