DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilcox, Richard D	DOIID	1054090	NAIC NPN	2009687

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/30/2019		10/31/2026
Active	Non Resident	Agent	Life	8/30/2019		10/31/2026
* 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
Active	Companion Life Insurance Company	300191	Agent - Health	9/25/2019
Active	Companion Life Insurance Company	300191	Agent - Life	9/25/2019
Inactive	United States Fire Insurance Company	582240	Agent - Health	8/28/2020	10/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurasource Inc	1039079	Agent - Life	6/9/2020	11/11/2024
Inactive	Insurasource Inc	1039079	Agent - Health	6/9/2020	11/11/2024