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DEPARTMENT OF INSURANCE
Affiliations
Name
Black, Donald Joyce
DOIID
371288
NAIC NPN
4959058
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
1/25/1983
7/31/2004
Inactive
Resident
Agent
Life
1/25/1983
7/31/2004
Inactive
Resident
Agent
Health Maintenance Organization
4/14/1993
3/1/2001
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
12/30/1996
7/31/2004
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
12/30/1996
7/31/2004
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/1/2001
7/31/2004
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
4/14/1993
3/1/2001
Inactive
Anthem Life Insurance Company
301209
Agent - Health
8/2/1993
12/17/1999
Inactive
Anthem Life Insurance Company
301209
Agent - Life
8/2/1993
12/17/1999
Inactive
Assurity Life Insurance Company
301099
Agent - Health
3/27/2002
4/17/2003
Inactive
Assurity Life Insurance Company
301099
Agent - Life
3/27/2002
4/17/2003
Inactive
Athene Annuity & Life Assurance Company of New York
300724
Agent - Life
1/25/2002
7/31/2004
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
6/27/2001
7/31/2004
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
6/27/2001
7/31/2004
Inactive
Chase Insurance Life Company
301287
Agent - Life
2/27/1995
3/31/1997
Inactive
First Colony Life Insurance Company
301179
Agent - Health
11/15/1989
3/31/1997
Inactive
First Colony Life Insurance Company
301179
Agent - Life
4/23/1997
7/31/2004
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Health
4/23/1991
7/31/2004
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
4/23/1991
7/31/2004
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
1/25/1983
7/31/2004
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
1/25/1983
7/31/2004
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
9/24/1996
12/31/1998
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
9/24/1996
12/31/1998
Inactive
IL Annuity and Insurance Company
300772
Agent - Life
4/28/1998
6/30/2003
Inactive
Indianapolis Life Insurance Company
301381
Agent - Life
6/30/2003
7/31/2004
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
8/25/2003
7/31/2004
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
8/25/2003
7/31/2004
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
8/25/2003
7/31/2004
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
8/25/2003
7/31/2004
Inactive
LifeUSA Insurance Company
300386
Agent - Health
10/2/1989
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
10/2/1989
8/2/2002
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
3/24/1997
6/5/2000
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
5/27/1997
7/31/2004
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
5/27/1997
7/31/2004
Inactive
Time Insurance Company
300683
Agent - Health
7/28/1994
11/13/1996
Inactive
Time Insurance Company
300683
Agent - Life
7/28/1994
11/13/1996
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
5/12/2004
7/31/2004
Inactive
USG Annuity & Life Company
300457
Agent - Health
11/4/1999
1/1/2004
Inactive
USG Annuity & Life Company
300457
Agent - Life
11/4/1999
1/1/2004
Inactive
Union Security Insurance Company
301844
Agent - Life
12/21/1999
12/17/2001
Inactive
United Presidential Life Insurance Company
300422
Agent - Life
10/3/1995
3/31/2001
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Health
1/27/2000
7/31/2004
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Life
1/27/2000
7/31/2004
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
4/16/2004
7/31/2004
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
1/1/2004
7/31/2004
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
1/1/2004
7/31/2004
Inactive
Wilco Life Insurance Company
300122
Agent - Life
11/23/1998
6/27/2001
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Acordia of Louisville Inc.
401252
Agent - Life
7/2/1993
5/31/2003
Inactive
Acordia of Louisville Inc.
401252
Agent - Health
7/2/1993
5/31/2003
Inactive
National Concepts of KY Inc.
401259
Agent - Life
9/12/1984
5/31/2004
Inactive
National Concepts of KY Inc.
401259
Agent - Health
9/12/1984
5/31/2004
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