DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Culberson, Edward T	DOIID	1065129	NAIC NPN	5700068

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/13/2019		2/28/2026
Active	Non Resident	Agent	Life	11/13/2019		2/28/2026
* 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	Anthem Life Insurance Company	301209	Agent - Health	12/17/2019
Active	Anthem Life Insurance Company	301209	Agent - Life	12/17/2019
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/10/2022
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/10/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/19/2019	6/23/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/19/2019	6/23/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/19/2019	6/23/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/19/2019	6/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	11/19/2019	12/9/2022
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	11/19/2019	12/9/2022