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DEPARTMENT OF INSURANCE
Affiliations
Name
Polaris Agency of KY, Inc. [The]
DOIID
510236
NAIC NPN
686522
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
7/31/1998
3/31/2010
Inactive
Non Resident
Agent
Life
7/31/1998
3/31/2010
* 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
Allianz Life Insurance Company of North America
301791
Agent - Health
8/21/2001
3/31/2010
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
8/21/2001
3/31/2010
Inactive
American General Life Insurance Company
301585
Agent - Health
9/3/2002
3/31/2010
Inactive
American General Life Insurance Company
301585
Agent - Life
9/3/2002
3/31/2010
Inactive
American Investors Life Insurance Company, Inc.
301358
Agent - Life
2/26/2001
2/4/2004
Inactive
American National Insurance Company
301861
Agent - Health
5/17/2007
3/31/2010
Inactive
American National Insurance Company
301861
Agent - Life
5/17/2007
3/31/2010
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
3/11/2002
3/31/2010
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
3/11/2002
3/31/2010
Inactive
C.M. Life Insurance Company
301335
Agent - Health
11/2/2001
3/31/2010
Inactive
C.M. Life Insurance Company
301335
Agent - Life
11/2/2001
3/31/2010
Inactive
Canada Life Assurance Company
301192
Agent - Health
1/3/2001
12/15/2004
Inactive
Canada Life Assurance Company
301192
Agent - Life
1/3/2001
12/15/2004
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
9/25/2001
4/1/2007
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
9/30/1998
3/31/2010
Inactive
Equitable Financial Life and Annuity Company
301833
Agent - Life
5/21/1999
2/3/2003
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
9/25/2001
3/31/2010
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
3/26/2004
12/16/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
7/16/2001
12/16/2008
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Health
9/25/1998
3/31/2010
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
9/25/1998
3/4/2003
Inactive
Genworth Life Insurance Company
300623
Agent - Health
6/17/2005
3/31/2010
Inactive
Genworth Life Insurance Company
300623
Agent - Life
6/17/2005
3/31/2010
Inactive
Integrity Life Insurance Company
301687
Agent - Life
9/5/2001
3/31/2010
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
11/13/1998
3/5/2003
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
11/10/2004
3/31/2010
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
11/10/2004
3/31/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
3/26/2004
3/31/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
3/26/2004
3/31/2010
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
11/2/2001
3/31/2010
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
11/2/2001
3/31/2010
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
10/13/2005
11/13/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
10/13/2005
11/13/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
12/29/2004
3/31/2010
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
12/29/2004
3/31/2010
Inactive
Midland National Life Insurance Company
300923
Agent - Health
3/4/1999
2/3/2003
Inactive
Midland National Life Insurance Company
300923
Agent - Life
3/4/1999
2/3/2003
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
7/31/1998
9/18/2007
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
7/31/1998
9/18/2007
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
10/1/2001
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
10/1/2001
3/31/2003
Inactive
Pacific Life Insurance Company
301848
Agent - Life
11/18/1998
7/16/2009
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
3/31/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Health
11/18/1998
3/31/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Life
11/18/1998
3/31/2010
Inactive
Prudential Insurance Company of America
300784
Agent - Health
10/31/1998
3/31/2010
Inactive
Prudential Insurance Company of America
300784
Agent - Life
10/31/1998
3/31/2010
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Life
11/17/2000
3/31/2010
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
9/28/2000
3/31/2010
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
9/28/2000
3/31/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
9/28/2000
3/31/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
9/28/2000
3/31/2010
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
3/29/2007
9/20/2007
Inactive
USG Annuity & Life Company
300457
Agent - Health
2/28/2000
1/1/2004
Inactive
USG Annuity & Life Company
300457
Agent - Life
2/28/2000
1/1/2004
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
10/1/2001
7/11/2005
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
1/1/2004
3/31/2010
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
1/1/2004
3/15/2010
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
4/23/1999
9/18/2003
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
4/23/1999
9/18/2003
Inactive
West Coast Life Insurance Company
301607
Agent - Health
2/5/2003
3/31/2010
Inactive
West Coast Life Insurance Company
301607
Agent - Life
2/5/2003
3/31/2010
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Dwyer, Christopher Joseph
512871
Agent - Health
4/9/2001
3/31/2010
Inactive
Dwyer, Christopher Joseph
512871
Agent - Life
4/9/2001
3/31/2010
Inactive
Walczak, Robert Joseph
318626
Agent - Health
7/31/1998
7/28/1999
Inactive
Walczak, Robert Joseph
318626
Agent - Life
7/31/1998
7/28/1999
Inactive
Whitehouse, Thomas Watts
367118
Agent - Health
7/31/1998
12/1/2000
Inactive
Whitehouse, Thomas Watts
367118
Agent - Life
7/31/1998
12/1/2000
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