PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameProvest Insurance Services Inc.DOIID400462NAIC NPN7222436
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth5/10/19945/31/2003 
InactiveResidentAgentLife5/10/19945/31/2003 
* 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
InactiveCanada Life Assurance Company301192Agent - Health1/17/19952/17/1999
InactiveCanada Life Assurance Company301192Agent - Life1/17/19952/17/1999
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life1/22/19973/4/2003
InactiveGenworth Life Insurance Company300623Agent - Life7/31/19955/31/2003
InactiveGlenbrook Life and Annuity Company301384Agent - Life1/14/19985/31/2003
InactiveING Insurance Company of America301507Agent - Life12/27/19965/31/2003
InactiveMetLife Investors USA Insurance Company300845Agent - Health3/13/19985/31/2003
InactiveMetLife Investors USA Insurance Company300845Agent - Life3/13/19985/31/2003
InactiveNassau Life Insurance Company301406Agent - Health2/23/19955/31/2003
InactiveNassau Life Insurance Company301406Agent - Life2/23/19955/31/2003
InactiveNationwide Life Insurance Company300495Agent - Health6/12/19955/31/2003
InactiveNationwide Life Insurance Company300495Agent - Life6/12/19955/31/2003
InactiveSymetra Life Insurance Company301691Agent - Health5/10/19943/31/1997
InactiveSymetra Life Insurance Company301691Agent - Life5/10/19943/31/1997
InactiveTalcott Resolution Life Insurance Company301759Agent - Health2/26/19994/16/2002
InactiveTalcott Resolution Life Insurance Company301759Agent - Life2/26/19994/16/2002
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health2/26/19994/16/2002
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life2/26/19994/16/2002
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/20/19995/31/2003
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/20/19995/31/2003
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health12/27/19965/31/2003
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life12/27/19965/31/2003
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveLaughlin, Paul A. 366185Agent - Health5/10/19942/9/1998
InactiveLaughlin, Paul A. 366185Agent - Life5/10/19942/9/1998
InactiveMorris, William David 328103Agent - Health5/10/19945/1/1997
InactiveMorris, William David 328103Agent - Life5/10/19945/1/1997
InactiveSpickard, Richard L 382659Agent - Health4/21/19995/31/2003
InactiveSpickard, Richard L 382659Agent - Life4/21/19995/31/2003
InactiveTaylor, Bud Lee 365765Agent - Health2/9/19983/11/1999
InactiveTaylor, Bud Lee 365765Agent - Life2/9/19983/11/1999

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