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DEPARTMENT OF INSURANCE
Affiliations
Name
Employee Benefit/Risk Management Services LLC
DOIID
1184425
NAIC NPN
20199317
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Casualty
1/24/2022
3/31/2026
Active
Non Resident
Agent
Life
1/24/2022
3/31/2026
Active
Non Resident
Agent
Property
1/24/2022
3/31/2026
Active
Non Resident
Agent
Health
1/24/2022
3/31/2026
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Pending
Hitchings, Brent James
1322269
Agent - Health
Pending
Hitchings, Brent James
1322269
Agent - Life
Inactive
Kolenda, Courtney Lynne
1022910
Agent - Casualty
1/24/2022
6/5/2025
Inactive
Kolenda, Courtney Lynne
1022910
Agent - Health
1/24/2022
6/5/2025
Inactive
Kolenda, Courtney Lynne
1022910
Agent - Life
1/24/2022
6/5/2025
Inactive
Kolenda, Courtney Lynne
1022910
Agent - Property
1/24/2022
6/5/2025
Inactive
Kubik, Jeffery J
321007
Agent - Health
6/24/2022
12/12/2024
Inactive
Kubik, Jeffery J
321007
Agent - Life
6/24/2022
12/12/2024
Active
Nelson, John Jeffrey
830296
Agent - Casualty
6/5/2025
Active
Nelson, John Jeffrey
830296
Agent - Health
6/5/2025
Active
Nelson, John Jeffrey
830296
Agent - Life
6/5/2025
Active
Nelson, John Jeffrey
830296
Agent - Property
6/5/2025
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