DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Henry Schein One	DOIID	1056194	NAIC NPN	18867235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/16/2019		3/31/2027
Active	Non Resident	Agent	Health	9/16/2019		3/31/2027
* 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	01/15/2025	03/31/2025	01/09/2025	01/09/2025	Yes

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Keen, Margaret	994171	Agent - Health
Denied	Keen, Margaret	994171	Agent - Life
Active	Stoll, Jennifer Joy	994161	Agent - Health	9/16/2019
Active	Stoll, Jennifer Joy	994161	Agent - Life	9/16/2019