DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	The Insurance Workshop Inc	DOIID	1290124	NAIC NPN	20767869

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/7/2023	3/31/2025
Inactive	Non Resident	Agent	Life	8/7/2023	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
Inactive	Accendo Insurance Company	300312	Agent - Life	9/30/2024	3/31/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Polston, Garrett Wayne	942069	Agent - Health	8/7/2023	3/31/2025
Inactive	Polston, Garrett Wayne	942069	Agent - Life	8/7/2023	3/31/2025