DEPARTMENT OF INSURANCE
Affiliations
NameAcrisure Enterprise Account Services, LLCDOIID1358194NAIC NPN21295731
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/28/2024 3/31/2028
ActiveNon ResidentAgentLife8/28/2024 3/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/202601/30/202601/30/2026Yes
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
PendingBuckalew, Matthew 1213183Agent - Health  
PendingBuckalew, Matthew 1213183Agent - Life  
ActiveGuffy, Michael Ryan 889142Agent - Health1/13/2026 
ActiveGuffy, Michael Ryan 889142Agent - Life1/13/2026 
InactiveKolenda, Courtney Lynne 1022910Agent - Health8/28/202412/29/2025
InactiveKolenda, Courtney Lynne 1022910Agent - Life8/28/202412/29/2025

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