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DEPARTMENT OF INSURANCE
Affiliations
Name
Bloodworth, John Richard
DOIID
366736
NAIC NPN
1497908
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Health
9/26/2023
4/30/2025
Active
Resident
Agent
Life
9/26/2023
4/30/2025
Inactive
Resident
Agent
Property
9/19/2005
4/30/2019
Inactive
Resident
Agent
Casualty
9/19/2005
4/30/2019
Inactive
Resident
Agent
Variable Life and Variable Annuities
6/17/2003
4/30/2019
Inactive
Resident
Agent
Health Maintenance Organization
4/7/1998
3/1/2001
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
02/15/2025
04/30/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
AF&L Insurance Company
301582
Agent - Health
11/19/2001
12/1/2006
Inactive
Accendo Insurance Company
300312
Agent - Life
6/10/2020
4/30/2023
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
11/23/2016
4/30/2019
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
7/22/1999
9/6/2011
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
7/22/1999
9/6/2011
Inactive
American Continental Insurance Company
643130
Agent - Health
4/1/2013
5/23/2016
Inactive
American Continental Insurance Company
643130
Agent - Life
4/1/2013
5/1/2018
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
5/17/2006
6/3/2013
Inactive
American General Life Insurance Company
301585
Agent - Health
12/19/2019
6/9/2022
Inactive
American General Life Insurance Company
301585
Agent - Life
12/19/2019
6/9/2022
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
12/29/2014
4/30/2019
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
2/12/1998
7/19/2006
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
2/12/1998
7/19/2006
Inactive
American Income Life Insurance Company
300256
Agent - Health
2/7/1997
12/16/1997
Inactive
American Income Life Insurance Company
300256
Agent - Life
2/7/1997
12/16/1997
Inactive
American National Insurance Company
301861
Agent - Health
8/15/2007
4/30/2019
Inactive
American National Insurance Company
301861
Agent - Life
9/24/2019
4/30/2023
Inactive
American National Life Insurance Company of Texas
300912
Agent - Health
4/16/1999
2/12/2001
Inactive
American National Life Insurance Company of Texas
300912
Agent - Life
4/16/1999
2/12/2001
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Health
12/18/2006
5/26/2009
Active
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
1/5/2024
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Variable Life and Variable Annuities
12/18/2006
5/26/2009
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
7/19/2019
1/1/2022
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Life
12/22/2008
12/6/2011
Inactive
Assurity Life Insurance Company
301099
Agent - Health
2/4/2014
12/27/2016
Inactive
Assurity Life Insurance Company
301099
Agent - Life
2/4/2014
12/27/2016
Inactive
Athene Annuity & Life Assurance Company of New York
300724
Agent - Life
4/24/2009
5/8/2013
Inactive
Athene Annuity and Life Company
301893
Agent - Life
8/20/2019
11/22/2021
Inactive
Baltimore Life Insurance Company
300286
Agent - Health
9/12/2007
12/24/2009
Inactive
Baltimore Life Insurance Company
300286
Agent - Life
9/12/2007
12/24/2009
Inactive
Bankers Fidelity Life Insurance Company
300193
Agent - Health
2/2/2001
6/21/2002
Inactive
Bankers Fidelity Life Insurance Company
300193
Agent - Life
2/2/2001
6/21/2002
Inactive
Banner Life Insurance Company
301696
Agent - Life
2/5/2014
9/5/2017
Inactive
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
7/21/2022
2/21/2023
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
8/9/1999
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
8/9/1999
4/1/2007
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
5/19/2008
1/1/2009
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
5/19/2008
1/1/2009
Inactive
Citizens Security Life Insurance Company
301257
Agent - Health
12/11/2007
4/30/2019
Inactive
Citizens Security Life Insurance Company
301257
Agent - Life
12/11/2007
4/30/2019
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
10/22/2001
1/29/2003
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Health
7/26/1999
7/14/2003
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Life
7/26/1999
7/14/2003
Inactive
Conseco Health Insurance Company
301725
Agent - Health
6/12/2001
5/28/2004
Inactive
Conseco Health Insurance Company
301725
Agent - Life
6/12/2001
5/28/2004
Inactive
Conseco Insurance Company
301202
Agent - Life
6/22/2001
12/29/2006
Inactive
Continental Casualty Company
301019
Agent - Health
9/3/1999
11/29/2004
Inactive
Continental General Insurance Company
300691
Agent - Health
10/6/2000
12/6/2006
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
8/10/2018
4/30/2019
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
3/5/2021
4/30/2023
Inactive
Cotton States Life Insurance Company
300268
Agent - Life
8/17/1998
3/21/2001
Inactive
Dearborn Life Insurance Company
300401
Agent - Health
12/31/2004
12/30/2009
Inactive
Dearborn Life Insurance Company
300401
Agent - Life
12/31/2004
12/30/2009
Inactive
Delaware Life Insurance Company
301256
Agent - Life
8/20/2007
11/3/2009
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
8/20/2007
11/3/2009
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
12/19/2009
Inactive
Encova Life Insurance Company
301818
Agent - Life
10/31/2007
5/13/2014
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
2/21/2007
5/5/2009
Inactive
Everly Life Insurance Company
561641
Agent - Life
12/23/2013
11/14/2018
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
11/16/2011
3/2/2017
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
8/9/1999
12/20/2009
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
8/9/1999
7/14/2016
Inactive
First Colony Life Insurance Company
301179
Agent - Health
8/16/2001
7/1/2004
Inactive
First Colony Life Insurance Company
301179
Agent - Life
8/16/2001
7/1/2004
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
11/8/2001
12/18/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
11/8/2001
12/18/2008
Inactive
Forethought Life Insurance Company
301407
Agent - Life
2/8/2008
4/30/2019
Inactive
General American Life Insurance Company
300280
Agent - Health
8/20/2003
6/12/2006
Inactive
General American Life Insurance Company
300280
Agent - Life
8/20/2003
6/12/2006
Inactive
General American Life Insurance Company
300280
Agent - Variable Life and Variable Annuities
8/20/2003
6/12/2006
Inactive
Genworth Life Insurance Company
300623
Agent - Health
4/30/2014
12/14/2016
Inactive
Genworth Life Insurance Company
300623
Agent - Life
4/30/2014
12/14/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
9/24/2010
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
9/24/2010
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
9/24/2010
12/7/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Health
3/9/2006
2/22/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
3/9/2006
2/22/2008
Inactive
Guaranty Income Life Insurance Company
552451
Agent - Health
12/16/2005
2/27/2007
Inactive
Guaranty Income Life Insurance Company
552451
Agent - Life
12/16/2005
2/27/2007
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
12/19/2009
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
4/7/1998
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
3/5/1998
12/19/2009
Inactive
Humana Insurance Company
301104
Agent - Life
3/5/1998
12/19/2009
Inactive
Indianapolis Life Insurance Company
301381
Agent - Life
4/4/2006
10/1/2008
Inactive
Integrity Life Insurance Company
301687
Agent - Life
2/28/2007
6/14/2012
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
2/28/2007
6/14/2012
Inactive
Investors Life Insurance Company of North America
301660
Agent - Life
8/28/2007
2/21/2008
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
12/13/2008
12/23/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
3/14/2003
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
3/14/2003
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
6/20/2006
5/28/2010
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
6/20/2006
5/28/2010
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
1/16/2003
12/11/2006
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/11/2008
12/19/2009
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/11/2008
12/19/2009
Inactive
Kentucky Funeral Directors Life Insurance Company
532905
Agent - Life
11/29/2007
5/21/2012
Inactive
Keyport Life Insurance Company
300319
Agent - Life
3/21/2003
12/31/2003
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
12/26/2007
1/16/2009
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
12/26/2007
1/16/2009
Inactive
Life Insurance Company of the Southwest
301867
Agent - Health
12/11/2007
1/25/2011
Inactive
Life Insurance Company of the Southwest
301867
Agent - Life
12/11/2007
1/25/2011
Inactive
Life Investors Insurance Company of America
301793
Agent - Health
12/15/2006
4/22/2008
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
12/15/2006
4/22/2008
Inactive
LifeUSA Insurance Company
300386
Agent - Health
7/22/1999
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
7/22/1999
8/2/2002
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/10/2019
10/8/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/10/2019
10/8/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
1/30/2004
10/29/2018
Inactive
MEGA Life and Health Insurance Company (The)
300751
Agent - Health
4/6/1999
6/18/1999
Inactive
MEGA Life and Health Insurance Company (The)
300751
Agent - Life
4/6/1999
6/18/1999
Inactive
ManhattanLife Insurance and Annuity Company
301795
Agent - Health
7/2/2001
2/9/2009
Inactive
ManhattanLife Insurance and Annuity Company
301795
Agent - Life
7/2/2001
2/9/2009
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
2/13/2009
2/19/2015
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
2/13/2009
11/10/2014
Inactive
MedAmerica Insurance Company
301568
Agent - Health
10/4/2007
6/23/2010
Inactive
Medical Life Insurance Company
300693
Agent - Health
12/9/1998
12/31/2004
Inactive
Medical Life Insurance Company
300693
Agent - Life
12/9/1998
12/31/2004
Inactive
Medico Insurance Company
301559
Agent - Health
11/6/2000
10/4/2001
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
4/29/2003
6/12/2006
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
6/19/2003
6/12/2006
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Health
12/21/2005
6/12/2006
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
12/21/2005
6/12/2006
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Variable Life and Variable Annuities
12/21/2005
6/12/2006
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
7/30/2007
1/30/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
7/30/2007
1/30/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
6/17/2003
6/12/2006
Inactive
Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company
300585
Agent - Health
6/11/2001
1/19/2005
Inactive
Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company
300585
Agent - Life
6/11/2001
1/19/2005
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
9/22/2000
11/24/2000
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Health
2/22/2000
5/20/2002
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
12/12/2008
9/10/2010
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
12/12/2008
9/10/2010
Inactive
National Western Life Insurance Company
301515
Agent - Health
1/31/2008
12/11/2018
Inactive
National Western Life Insurance Company
301515
Agent - Life
1/31/2008
4/30/2019
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
12/3/2001
2/27/2002
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
12/3/2001
2/27/2002
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
12/13/2001
2/27/2002
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
12/3/2001
2/27/2002
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
12/13/2001
2/27/2002
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
12/27/2007
3/6/2017
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
12/27/2007
3/6/2017
Inactive
Old American Insurance Company
300762
Agent - Life
5/14/2024
9/3/2024
Inactive
Oxford Life Insurance Company
301079
Agent - Health
9/12/2007
6/5/2009
Inactive
Oxford Life Insurance Company
301079
Agent - Life
9/12/2007
6/5/2009
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
12/29/2005
11/25/2008
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Life
12/29/2005
11/25/2008
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
3/5/2007
11/27/2008
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
3/5/2007
11/27/2008
Inactive
Physicians Life Insurance Company
300924
Agent - Life
5/30/2001
9/26/2002
Inactive
Physicians Mutual Insurance Company
301084
Agent - Health
5/30/2001
9/26/2002
Inactive
Pioneer Life Insurance Company
300110
Agent - Health
1/26/2000
10/23/2002
Inactive
Pioneer Life Insurance Company
300110
Agent - Life
2/28/2001
10/23/2002
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/1/2007
12/29/2009
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
12/29/2009
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
3/30/2004
12/30/2009
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
3/30/2004
12/30/2009
Inactive
Pruco Life Insurance Company
300954
Agent - Health
8/13/2003
12/22/2008
Inactive
Pruco Life Insurance Company
300954
Agent - Life
8/13/2003
12/22/2008
Inactive
Prudential Insurance Company of America
300784
Agent - Health
8/13/2003
12/23/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Life
8/13/2003
12/23/2014
Inactive
Royal Neighbors of America
301646
Agent - Life
3/25/2008
10/30/2015
Inactive
Sagicor Life Insurance Company
300459
Agent - Life
7/21/2008
12/7/2011
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
11/9/2012
10/14/2014
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Health
9/8/1999
11/19/2003
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Life
9/8/1999
11/19/2003
Inactive
Shenandoah Life Insurance Company
300130
Agent - Health
7/31/2007
3/31/2009
Inactive
Shenandoah Life Insurance Company
300130
Agent - Life
7/31/2007
5/8/2008
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Health
1/22/2001
7/23/2007
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Life
1/22/2001
7/23/2007
Inactive
State Life Insurance Company
301497
Agent - Health
5/21/2007
5/26/2015
Inactive
State Life Insurance Company
301497
Agent - Life
5/21/2007
5/26/2015
Inactive
State Mutual Insurance Company
300359
Agent - Health
10/12/2000
8/10/2001
Inactive
Symetra Life Insurance Company
301691
Agent - Health
9/15/2010
4/26/2019
Inactive
Symetra Life Insurance Company
301691
Agent - Life
9/15/2010
4/26/2019
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
9/15/2010
4/26/2019
Inactive
Texas Life Insurance Company
300345
Agent - Life
8/26/2003
10/10/2006
Inactive
Time Insurance Company
300683
Agent - Health
5/7/2001
7/20/2010
Inactive
Time Insurance Company
300683
Agent - Life
5/7/2001
7/20/2010
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
4/19/2018
4/30/2019
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
4/19/2018
4/30/2019
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
1/16/2003
6/15/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
8/9/1999
7/25/2003
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
8/9/1999
7/25/2003
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
10/1/2013
10/10/2014
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
10/1/2013
10/10/2014
Inactive
Trinity Life Insurance Company
552459
Agent - Life
11/1/2013
12/13/2016
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
3/30/2004
12/30/2009
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
3/30/2004
12/30/2009
Inactive
United Home Life Insurance Company
300421
Agent - Life
7/25/2007
12/23/2009
Inactive
United Teacher Associates Insurance Company
300747
Agent - Health
8/5/2006
12/19/2008
Inactive
United Teacher Associates Insurance Company
300747
Agent - Life
8/5/2006
12/19/2008
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
8/23/2007
1/3/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
8/23/2007
1/3/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Variable Life and Variable Annuities
8/23/2007
1/3/2012
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
11/23/2021
2/21/2023
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
3/14/2008
11/25/2008
Inactive
UnitedHealthcare Insurance Company of the River Valley
1027817
Agent - Health
11/23/2021
12/22/2022
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
11/23/2021
12/23/2021
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health Maintenance Organization
9/3/1999
3/1/2001
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
11/23/2021
2/21/2023
Inactive
Unity Financial Life Insurance Company
301054
Agent - Life
9/4/2007
3/1/2011
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
1/19/2007
8/18/2009
Inactive
Wellpoint Life and Health Insurance Company
300469
Agent - Health
3/13/2001
6/6/2003
Inactive
Wellpoint Life and Health Insurance Company
300469
Agent - Life
3/13/2001
6/6/2003
Inactive
West Coast Life Insurance Company
301607
Agent - Health
10/1/2001
11/23/2009
Inactive
West Coast Life Insurance Company
301607
Agent - Life
10/1/2001
11/23/2009
Inactive
Wilco Life Insurance Company
300122
Agent - Life
9/17/2001
5/18/2009
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Humana MarketPOINT Inc.
398092
Agent - Life
2/9/2001
8/27/2001
Inactive
Humana MarketPOINT Inc.
398092
Agent - Health
2/9/2001
8/27/2001
Inactive
Medlink Inc
400721
Agent - Life
9/12/2002
4/30/2019
Inactive
Medlink Inc
400721
Agent - Health
9/12/2002
4/30/2019
Inactive
Planchoice Inc.
400482
Agent - Life
3/5/2003
4/30/2019
Inactive
Planchoice Inc.
400482
Agent - Health
3/5/2003
4/30/2019
Inactive
Statewide Insurance Services, Inc.
399559
Agent - Health
3/1/2001
11/22/2002
Inactive
Statewide Insurance Services, Inc.
399559
Agent - Health Maintenance Organization
12/11/1998
3/1/2001
Inactive
United Financial Systems Corporation
564588
Agent - Life
12/16/2008
11/22/2010
Inactive
United Financial Systems Corporation
564588
Agent - Health
12/16/2008
11/22/2010
Inactive
W & R Insurance Agency
398729
Agent - Life
11/21/2001
2/11/2004
Inactive
W & R Insurance Agency
398729
Agent - Health
11/21/2001
2/11/2004
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