PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameDiversified Financial Group Inc.DOIID401053NAIC NPN7222876
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth2/20/19925/31/2004 
InactiveResidentAgentLife2/20/19925/31/2004 
* 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
InactiveAnthem Life Insurance Company301209Agent - Health12/2/19936/7/2000
InactiveAnthem Life Insurance Company301209Agent - Life12/2/19936/7/2000
InactiveJohn Alden Life Insurance Company300573Agent - Health2/20/19923/31/1997
InactiveJohn Alden Life Insurance Company300573Agent - Life2/20/19923/31/1997
InactiveSecurity Mutual Life Insurance Company of NY300708Agent - Health2/15/19948/26/1996
InactiveSecurity Mutual Life Insurance Company of NY300708Agent - Life2/15/19948/26/1996
InactiveUNUM Life Insurance Company of America300817Agent - Health10/21/19925/31/2004
InactiveUNUM Life Insurance Company of America300817Agent - Life10/21/19925/31/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Health11/5/199312/31/2001
InactiveAcordia of Louisville Inc.401252Agent - Life11/5/199312/31/2001
InactiveAtkisson, James Douglas 325125Agent - Health2/11/19925/31/2004
InactiveAtkisson, James Douglas 325125Agent - Life2/11/19925/31/2004
InactiveJoksimovic, Michael Robert 307371Agent - Health6/8/19925/31/2004
InactiveJoksimovic, Michael Robert 307371Agent - Life6/8/19925/31/2004
InactiveMetcalf, Michael Anthony 373021Agent - Health10/22/19935/31/2004
InactiveMetcalf, Michael Anthony 373021Agent - Life10/22/19935/31/2004
InactivePendley, Elizabeth Suzanne 348586Agent - Health10/22/19935/31/2004
InactivePendley, Elizabeth Suzanne 348586Agent - Life10/22/19935/31/2004
InactiveRichmond, George Stevens 347703Agent - Health2/11/199212/1/2000
InactiveRichmond, George Stevens 347703Agent - Life2/11/199212/1/2000
InactiveSurrell, Joseph S 365316Agent - Health10/22/19937/1/1998
InactiveSurrell, Joseph S 365316Agent - Life10/22/19937/1/1998

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