DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gallipeau, Richard Joseph	DOIID	1043432	NAIC NPN	18386012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/11/2019		7/31/2025
Active	Non Resident	Agent	Life	6/11/2019		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/12/2019
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/12/2019
Active	CMFG Life Insurance Company	300929	Agent - Life	4/4/2024
Active	Tier One Insurance Company	301056	Agent - Health	11/14/2021
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Life	7/12/2019
Active	Sutherland Global Services Inc	601788	Agent - Health	7/12/2019