DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Boukal, Barbara M	DOIID	1178255	NAIC NPN	6981423

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/15/2021		3/31/2025
Active	Non Resident	Agent	Life	12/15/2021		3/31/2025
* 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	Dental Care Plus Inc.	301495	Agent - Health	5/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Direct Benefits, An Alera Group Agency, Llc	1126744	Agent - Life
Active	Direct Benefits, An Alera Group Agency, Llc	1126744	Agent - Health	5/20/2022