DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	White, Debra	DOIID	1237420	NAIC NPN	19190986

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/18/2022		9/30/2026
Active	Non Resident	Agent	Life	10/18/2022		9/30/2026
* 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	07/15/2024	09/30/2024	07/24/2024	07/24/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/20/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/20/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	10/20/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/28/2022	12/20/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	12/5/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	12/5/2022
Active	ReliaStar Life Insurance Company	301712	Agent - Health	5/10/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Life	5/10/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/20/2022
Active	Starmount Life Insurance Company	628031	Agent - Health	12/5/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Health	12/5/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	12/5/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/18/2022	1/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/18/2022	1/22/2024
Active	Unum Insurance Company	301499	Agent - Health	12/5/2022
Active	Unum Insurance Company	301499	Agent - Life	12/5/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/23/2023	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/23/2023	5/15/2024
Active	Hodges-Mace LLC	1059189	Agent - Life	11/22/2022
Active	Hodges-Mace LLC	1059189	Agent - Health	11/22/2022