DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Telus Health (Us) Ltd.	DOIID	1003351	NAIC NPN	11674698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	4/4/2024		3/31/2026
Inactive	Non Resident	Agent	Casualty	10/19/2018	4/1/2023
Inactive	Non Resident	Agent	Health	8/1/2018	4/1/2023
Inactive	Non Resident	Agent	Property	10/19/2018	4/1/2023
Inactive	Non Resident	Agent	Life	8/1/2018	4/1/2023
* 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	Continental American Insurance Company	301700	Agent - Health	11/28/2018	1/3/2022
Inactive	Continental American Insurance Company	301700	Agent - Life	11/28/2018	1/3/2022
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	11/27/2018	4/1/2023
Inactive	United States Fire Insurance Company	582240	Agent - Property	11/27/2018	4/1/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Buckland, Matthew	1262861	Administrator - Not Applicable	5/9/2024
Inactive	Cerrito, Jennifer A	878600	Administrator - Not Applicable	7/2/2019	1/31/2023
Inactive	Cerrito, Jennifer A	878600	Agent - Casualty	10/19/2018	1/31/2023
Inactive	Cerrito, Jennifer A	878600	Agent - Health	8/1/2018	1/31/2023
Inactive	Cerrito, Jennifer A	878600	Agent - Life	8/1/2018	1/31/2023
Inactive	Cerrito, Jennifer A	878600	Agent - Property	10/19/2018	1/31/2023