DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dembroski, Maxwell	DOIID	1105143	NAIC NPN	19594426

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/21/2023		7/31/2026
Active	Non Resident	Agent	Property	6/21/2023		7/31/2026
Active	Non Resident	Agent	Health	9/22/2023		7/31/2026
* 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
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/22/2023	12/20/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	2/6/2024	1/27/2025
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	2/6/2024	1/27/2025
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	9/22/2023	12/20/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/22/2023	12/20/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/15/2020	4/5/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/15/2020	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/22/2023	12/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	2/7/2024	1/27/2025
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	2/7/2024	1/27/2025
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	2/20/2024	1/27/2025
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	2/20/2024	1/27/2025