DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Professional Enrollment Concepts Inc	DOIID	889971	NAIC NPN	16587380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/4/2015	3/31/2023
Inactive	Non Resident	Agent	Life	9/4/2015	3/31/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	1/14/2020	4/29/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/10/2019	3/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/10/2019	3/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/10/2019	3/31/2023
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/18/2017	4/28/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/18/2017	4/28/2020
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/10/2018	5/17/2022
Inactive	Combined Insurance Company of America	301472	Agent - Life	5/10/2018	5/17/2022
Inactive	Continental American Insurance Company	301700	Agent - Health	10/29/2019	5/18/2020
Inactive	Continental American Insurance Company	301700	Agent - Life	10/29/2019	5/18/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/10/2019	6/15/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/24/2018	5/26/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/24/2018	5/26/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/29/2016	6/3/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/29/2016	6/3/2021
Inactive	Trustmark Insurance Company	300317	Agent - Health	11/6/2016	3/31/2023
Inactive	Trustmark Insurance Company	300317	Agent - Life	11/6/2016	3/31/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/29/2016	6/3/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/29/2016	6/3/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baker, Kenny Dwaine	567557	Agent - Health	9/4/2015	3/31/2023
Inactive	Baker, Kenny Dwaine	567557	Agent - Life	9/4/2015	3/31/2023