DEPARTMENT OF INSURANCE
Affiliations
NameUllico Select LLCDOIID502043NAIC NPN964313
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife2/24/2000 3/31/2026
ActiveNon ResidentAgentHealth2/24/2000 3/31/2026
ActiveNon ResidentAgentCasualty9/18/2020 3/31/2026
ActiveNon ResidentAgentProperty9/18/2020 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveClover Insurance Company301587Agent - Health10/15/20013/31/2021
InactiveClover Insurance Company301587Agent - Life10/15/20013/31/2021
InactiveIndependence American Insurance Company524747Agent - Property3/15/202112/30/2022
InactiveIndianapolis Life Insurance Company301381Agent - Life4/29/20024/5/2005
ActiveUnion Labor Life Insurance Company301832Agent - Health11/7/2003 
ActiveUnion Labor Life Insurance Company301832Agent - Life11/7/2003 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveArneson, Craig 764287Agent - Casualty9/18/2020 
ActiveArneson, Craig 764287Agent - Property9/18/2020 
InactiveBlock, Michael Ira 347411Agent - Health12/15/20032/2/2004
InactiveBlock, Michael Ira 347411Agent - Life12/15/20032/2/2004
InactiveDecinque, William Carmen 304649Agent - Health2/24/20007/24/2009
InactiveDecinque, William Carmen 304649Agent - Life2/24/20007/24/2009
ActiveDoherty, Brian J 763305Agent - Health9/16/2013 
ActiveDoherty, Brian J 763305Agent - Life9/16/2013 
InactiveFree, Dwight Willis 586296Agent - Health2/10/20051/3/2006
InactiveFree, Dwight Willis 586296Agent - Life2/10/20051/3/2006
ActiveHale, Brian 712632Agent - Health9/16/2013 
ActiveHale, Brian 712632Agent - Life9/16/2013 
InactiveNuccio, Philip Richard 688401Agent - Health10/24/20086/30/2013
InactiveNuccio, Philip Richard 688401Agent - Life10/24/20086/30/2013

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