DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Niederbrach, Willard Scott	DOIID	1024593	NAIC NPN	816448

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/7/2019	8/31/2022
Inactive	Non Resident	Agent	Life	1/7/2019	8/31/2022
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	2/1/2019	8/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	2/1/2019	8/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	2/1/2019	8/31/2022
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	2/1/2019	6/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Digital Insurance LLC	521672	Agent - Life	4/8/2019	8/31/2022
Inactive	Digital Insurance LLC	521672	Agent - Health	4/8/2019	8/31/2022