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DEPARTMENT OF INSURANCE
Affiliations
Name
Aon Select Inc.
DOIID
401199
NAIC NPN
773100
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Administrator
Not Applicable
2/25/1997
5/15/2000
Inactive
Non Resident
Agent
Health
4/21/1997
5/31/2003
Inactive
Non Resident
Agent
Health Maintenance Organization
11/5/1997
3/1/2001
Inactive
Non Resident
Agent
Prepaid Dental Plan
7/23/1997
10/2/2001
Inactive
Non Resident
Agent
Life
4/21/1997
5/31/2003
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Advantage Care, Inc.
300998
Agent - Health Maintenance Organization
5/1/1998
12/1/2000
Inactive
Aetna Life Insurance Company
301140
Agent - Health
8/23/1997
5/31/2003
Inactive
Aetna Life Insurance Company
301140
Agent - Life
8/23/1997
5/31/2003
Inactive
American States Life Insurance Company
301884
Agent - Health
12/30/1998
11/26/2001
Inactive
American States Life Insurance Company
301884
Agent - Life
12/30/1998
11/26/2001
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
9/8/1997
10/2/2000
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
9/8/1997
10/2/2000
Inactive
Athene Annuity and Life Company
301893
Agent - Health
6/26/1998
3/27/2000
Inactive
Athene Annuity and Life Company
301893
Agent - Life
6/26/1998
3/27/2000
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
1/5/1998
1/2/2003
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
1/5/1998
1/2/2003
Inactive
Citizens Security Life Insurance Company
301257
Agent - Health
8/6/1998
5/31/2003
Inactive
Citizens Security Life Insurance Company
301257
Agent - Life
8/6/1998
5/31/2003
Inactive
Combined Insurance Company of America
301472
Agent - Health
4/21/1997
3/17/2003
Inactive
Combined Insurance Company of America
301472
Agent - Life
4/21/1997
3/17/2003
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
6/17/2002
5/31/2003
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
12/18/1997
5/31/2003
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
12/18/1997
5/31/2003
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
11/17/1998
5/31/2003
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
11/17/1998
5/31/2003
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
5/31/2003
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
9/25/1998
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
9/25/1998
5/31/2003
Inactive
Humana Insurance Company
301104
Agent - Life
9/25/1998
5/31/2003
Inactive
HumanaDental Insurance Company
301457
Agent - Health
10/18/2001
5/31/2003
Inactive
Manhattan National Life Insurance Company
301011
Agent - Health
2/2/1998
4/12/2001
Inactive
Manhattan National Life Insurance Company
301011
Agent - Life
2/2/1998
4/12/2001
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
10/3/1997
3/12/2002
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
10/3/1997
3/12/2002
Inactive
New England Life Insurance Company
300343
Agent - Health
6/29/1999
5/31/2003
Inactive
New England Life Insurance Company
300343
Agent - Life
6/29/1999
5/31/2003
Inactive
Nippon Life Insurance Company of America
300446
Agent - Health
10/23/1997
5/31/2003
Inactive
Nippon Life Insurance Company of America
300446
Agent - Life
10/23/1997
5/31/2003
Inactive
Premier Dental Network Inc.
300661
Agent - Prepaid Dental Plan
7/23/1997
2/2/2001
Inactive
Principal Life Insurance Company
300129
Agent - Health
10/20/1997
5/31/2003
Inactive
Principal Life Insurance Company
300129
Agent - Life
10/20/1997
5/31/2003
Inactive
Prudential Health Care Plan Inc.
301342
Agent - Health
3/1/2001
5/31/2003
Inactive
Prudential Health Care Plan Inc.
301342
Agent - Health Maintenance Organization
11/5/1997
3/1/2001
Inactive
Prudential Insurance Company of America
300784
Agent - Health
10/23/1997
5/31/2003
Inactive
Prudential Insurance Company of America
300784
Agent - Life
10/23/1997
5/31/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
12/10/1998
1/2/2003
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
3/12/2002
4/28/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
12/10/1998
1/2/2003
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
3/12/2002
4/28/2003
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Health
2/27/1998
4/1/1999
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Life
2/27/1998
4/1/1999
Inactive
Symetra Life Insurance Company
301691
Agent - Health
11/5/1998
5/31/2003
Inactive
Symetra Life Insurance Company
301691
Agent - Life
11/5/1998
5/31/2003
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
11/17/1998
5/31/2003
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
11/17/1998
5/31/2003
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
10/22/1997
2/28/2001
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Health
5/1/1998
5/31/2003
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Life
5/1/1998
5/31/2003
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
12/30/1998
5/31/2003
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
12/30/1998
5/31/2003
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/1/2001
5/31/2003
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health Maintenance Organization
12/14/1998
3/1/2001
Inactive
Wilcac Life Insurance Company
301573
Agent - Health
12/9/1999
1/15/2002
Inactive
Wilcac Life Insurance Company
301573
Agent - Life
12/9/1999
1/15/2002
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Bobbitt, David Bruce
335032
Agent - Health
3/1/2001
5/31/2003
Inactive
Bobbitt, David Bruce
335032
Agent - Health Maintenance Organization
12/14/1998
3/1/2001
Inactive
Gipperich, Robert Charles
393217
Agent - Health
3/1/2001
5/31/2003
Inactive
Gipperich, Robert Charles
393217
Agent - Health Maintenance Organization
12/14/1998
3/1/2001
Inactive
Peake, Joan Marie
372523
Agent - Health
6/29/1998
5/31/2003
Inactive
Peake, Joan Marie
372523
Agent - Life
6/29/1998
5/31/2003
Inactive
Pullen, Milton S
393084
Agent - Health
3/1/2001
5/31/2003
Inactive
Pullen, Milton S
393084
Agent - Health Maintenance Organization
9/25/1998
3/1/2001
Inactive
Sweeney, Michael Joseph
324793
Administrator - Not Applicable
2/25/1997
5/15/2000
Inactive
Sweeney, Michael Joseph
324793
Agent - Health
4/21/1997
5/15/2000
Inactive
Sweeney, Michael Joseph
324793
Agent - Life
4/21/1997
5/15/2000
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