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DEPARTMENT OF INSURANCE
Affiliations
Name
Custenborder, Patrick Raymond
DOIID
356268
NAIC NPN
1488988
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
9/5/1995
3/31/2025
Active
Non Resident
Agent
Life
9/5/1995
3/31/2025
Inactive
Non Resident
Agent
Health Maintenance Organization
12/30/1998
3/1/2001
* 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
01/15/2025
03/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Anthem Health Plans of New Hampshire, Inc.
944064
Agent - Health
9/23/2021
Active
Anthem Insurance Companies, Inc.
300941
Agent - Health
9/23/2021
Inactive
Banner Life Insurance Company
301696
Agent - Life
1/30/2015
10/7/2017
Active
Compcare Health Services Insurance Corporation
948751
Agent - Health
9/23/2021
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
7/6/2012
Inactive
Guarantee Life Insurance Company
301560
Agent - Health
9/5/1995
9/8/2000
Inactive
Guarantee Life Insurance Company
301560
Agent - Life
9/5/1995
9/8/2000
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
12/16/2009
11/23/2012
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
12/16/2009
11/23/2012
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
7/6/2012
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
12/30/1998
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
12/10/1998
7/6/2012
Inactive
Humana Insurance Company
301104
Agent - Life
12/10/1998
7/6/2012
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
9/8/2000
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
9/8/2000
7/2/2007
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/11/2008
7/6/2012
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/11/2008
7/6/2012
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/2/2007
3/18/2009
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/2/2007
3/18/2009
Inactive
Time Insurance Company
300683
Agent - Health
3/11/2008
11/23/2019
Inactive
Time Insurance Company
300683
Agent - Life
3/11/2008
11/23/2019
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Health
8/13/1997
12/19/2005
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Life
8/13/1997
12/19/2005
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
CBISA Reaquisitian Corp
547026
Agent - Life
9/4/2008
11/23/2019
Inactive
CBISA Reaquisitian Corp
547026
Agent - Health
9/4/2008
11/23/2019
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/6/2013
11/23/2019
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/6/2013
11/23/2019
Active
Phelan Insurance Agency Inc.
512633
Agent - Life
3/6/2019
Active
Phelan Insurance Agency Inc.
512633
Agent - Health
3/6/2019
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