DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Donald JoyceDOIID371288NAIC NPN4959058
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth1/25/19837/31/2004 
InactiveResidentAgentLife1/25/19837/31/2004 
InactiveResidentAgentHealth Maintenance Organization4/14/19933/1/2001 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health12/30/19967/31/2004
InactiveAllianz Life Insurance Company of North America301791Agent - Life12/30/19967/31/2004
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20017/31/2004
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization4/14/19933/1/2001
InactiveAnthem Life Insurance Company301209Agent - Health8/2/199312/17/1999
InactiveAnthem Life Insurance Company301209Agent - Life8/2/199312/17/1999
InactiveAssurity Life Insurance Company301099Agent - Health3/27/20024/17/2003
InactiveAssurity Life Insurance Company301099Agent - Life3/27/20024/17/2003
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life1/25/20027/31/2004
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/20017/31/2004
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/20017/31/2004
InactiveChase Insurance Life Company301287Agent - Life2/27/19953/31/1997
InactiveFirst Colony Life Insurance Company301179Agent - Health11/15/19893/31/1997
InactiveFirst Colony Life Insurance Company301179Agent - Life4/23/19977/31/2004
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Health4/23/19917/31/2004
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life4/23/19917/31/2004
InactiveGuardian Life Insurance Company of America301316Agent - Health1/25/19837/31/2004
InactiveGuardian Life Insurance Company of America301316Agent - Life1/25/19837/31/2004
InactiveHartford Life and Accident Insurance Company300878Agent - Health9/24/199612/31/1998
InactiveHartford Life and Accident Insurance Company300878Agent - Life9/24/199612/31/1998
InactiveIL Annuity and Insurance Company300772Agent - Life4/28/19986/30/2003
InactiveIndianapolis Life Insurance Company301381Agent - Life6/30/20037/31/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health8/25/20037/31/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life8/25/20037/31/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health8/25/20037/31/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life8/25/20037/31/2004
InactiveLifeUSA Insurance Company300386Agent - Health10/2/19898/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life10/2/19898/2/2002
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life3/24/19976/5/2000
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health5/27/19977/31/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life5/27/19977/31/2004
InactiveTime Insurance Company300683Agent - Health7/28/199411/13/1996
InactiveTime Insurance Company300683Agent - Life7/28/199411/13/1996
InactiveU.S. Financial Life Insurance Company301812Agent - Life5/12/20047/31/2004
InactiveUSG Annuity & Life Company300457Agent - Health11/4/19991/1/2004
InactiveUSG Annuity & Life Company300457Agent - Life11/4/19991/1/2004
InactiveUnion Security Insurance Company301844Agent - Life12/21/199912/17/2001
InactiveUnited Presidential Life Insurance Company300422Agent - Life10/3/19953/31/2001
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health1/27/20007/31/2004
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life1/27/20007/31/2004
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/16/20047/31/2004
InactiveVenerable Insurance and Annuity Company301006Agent - Health1/1/20047/31/2004
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/1/20047/31/2004
InactiveWilco Life Insurance Company300122Agent - Life11/23/19986/27/2001
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Life7/2/19935/31/2003
InactiveAcordia of Louisville Inc.401252Agent - Health7/2/19935/31/2003
InactiveNational Concepts of KY Inc.401259Agent - Life9/12/19845/31/2004
InactiveNational Concepts of KY Inc.401259Agent - Health9/12/19845/31/2004

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