DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Polmonari, James S	DOIID	1181802	NAIC NPN	17194458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/7/2022		10/31/2026
Active	Non Resident	Agent	Health	11/12/2025		10/31/2026
* 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	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	11/24/2025
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/24/2025
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/23/2022	12/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Highstreet Insurance Services Southeast Inc.	1387562	Agent - Life	2/25/2026
Active	Highstreet Insurance Services Southeast Inc.	1387562	Agent - Health	2/25/2026