DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Dorene Lashelle	DOIID	1085929	NAIC NPN	6390595

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/10/2020	8/31/2023
Inactive	Non Resident	Agent	Health	6/10/2020	8/31/2023
* 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	American General Life Insurance Company	301585	Agent - Health	1/26/2021	6/15/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	1/26/2021	6/15/2022
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	4/25/2021	8/31/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/21/2020	12/17/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/21/2020	12/17/2022
Inactive	Great Western Insurance Company	501693	Agent - Life	6/16/2021	1/27/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/17/2020	1/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Life	9/17/2020	9/21/2021
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Health	10/21/2020	9/21/2021