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DEPARTMENT OF INSURANCE
Affiliations
Name
Ullico Select LLC
DOIID
502043
NAIC NPN
964313
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
2/24/2000
3/31/2026
Active
Non Resident
Agent
Health
2/24/2000
3/31/2026
Active
Non Resident
Agent
Casualty
9/18/2020
3/31/2026
Active
Non Resident
Agent
Property
9/18/2020
3/31/2026
* 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
Clover Insurance Company
301587
Agent - Health
10/15/2001
3/31/2021
Inactive
Clover Insurance Company
301587
Agent - Life
10/15/2001
3/31/2021
Inactive
Independence American Insurance Company
524747
Agent - Property
3/15/2021
12/30/2022
Inactive
Indianapolis Life Insurance Company
301381
Agent - Life
4/29/2002
4/5/2005
Active
Union Labor Life Insurance Company
301832
Agent - Health
11/7/2003
Active
Union Labor Life Insurance Company
301832
Agent - Life
11/7/2003
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Arneson, Craig
764287
Agent - Casualty
9/18/2020
Active
Arneson, Craig
764287
Agent - Property
9/18/2020
Inactive
Block, Michael Ira
347411
Agent - Health
12/15/2003
2/2/2004
Inactive
Block, Michael Ira
347411
Agent - Life
12/15/2003
2/2/2004
Inactive
Decinque, William Carmen
304649
Agent - Health
2/24/2000
7/24/2009
Inactive
Decinque, William Carmen
304649
Agent - Life
2/24/2000
7/24/2009
Active
Doherty, Brian J
763305
Agent - Health
9/16/2013
Active
Doherty, Brian J
763305
Agent - Life
9/16/2013
Inactive
Free, Dwight Willis
586296
Agent - Health
2/10/2005
1/3/2006
Inactive
Free, Dwight Willis
586296
Agent - Life
2/10/2005
1/3/2006
Active
Hale, Brian
712632
Agent - Health
9/16/2013
Active
Hale, Brian
712632
Agent - Life
9/16/2013
Inactive
Nuccio, Philip Richard
688401
Agent - Health
10/24/2008
6/30/2013
Inactive
Nuccio, Philip Richard
688401
Agent - Life
10/24/2008
6/30/2013
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