DEPARTMENT OF INSURANCE
Affiliations
NamePolaris Agency of KY, Inc. [The]DOIID510236NAIC NPN686522
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth7/31/19983/31/2010 
InactiveNon ResidentAgentLife7/31/19983/31/2010 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health8/21/20013/31/2010
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/21/20013/31/2010
InactiveAmerican General Life Insurance Company301585Agent - Health9/3/20023/31/2010
InactiveAmerican General Life Insurance Company301585Agent - Life9/3/20023/31/2010
InactiveAmerican Investors Life Insurance Company, Inc.301358Agent - Life2/26/20012/4/2004
InactiveAmerican National Insurance Company301861Agent - Health5/17/20073/31/2010
InactiveAmerican National Insurance Company301861Agent - Life5/17/20073/31/2010
InactiveAthene Annuity & Life Assurance Company301798Agent - Health3/11/20023/31/2010
InactiveAthene Annuity & Life Assurance Company301798Agent - Life3/11/20023/31/2010
InactiveC.M. Life Insurance Company301335Agent - Health11/2/20013/31/2010
InactiveC.M. Life Insurance Company301335Agent - Life11/2/20013/31/2010
InactiveCanada Life Assurance Company301192Agent - Health1/3/200112/15/2004
InactiveCanada Life Assurance Company301192Agent - Life1/3/200112/15/2004
InactiveChase Insurance Life and Annuity Company300518Agent - Life9/25/20014/1/2007
InactiveEquitable Financial Life Insurance Company300808Agent - Life9/30/19983/31/2010
InactiveEquitable Financial Life and Annuity Company301833Agent - Life5/21/19992/3/2003
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life9/25/20013/31/2010
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health3/26/200412/16/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life7/16/200112/16/2008
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health9/25/19983/31/2010
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life9/25/19983/4/2003
InactiveGenworth Life Insurance Company300623Agent - Health6/17/20053/31/2010
InactiveGenworth Life Insurance Company300623Agent - Life6/17/20053/31/2010
InactiveIntegrity Life Insurance Company301687Agent - Life9/5/20013/31/2010
InactiveJackson National Life Insurance Company300486Agent - Life11/13/19983/5/2003
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health11/10/20043/31/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life11/10/20043/31/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/26/20043/31/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/26/20043/31/2010
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health11/2/20013/31/2010
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life11/2/20013/31/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Health10/13/200511/13/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/13/200511/13/2009
InactiveMetropolitan Life Insurance Company301948Agent - Health12/29/20043/31/2010
InactiveMetropolitan Life Insurance Company301948Agent - Life12/29/20043/31/2010
InactiveMidland National Life Insurance Company300923Agent - Health3/4/19992/3/2003
InactiveMidland National Life Insurance Company300923Agent - Life3/4/19992/3/2003
InactiveNationwide Life Insurance Company300495Agent - Health7/31/19989/18/2007
InactiveNationwide Life Insurance Company300495Agent - Life7/31/19989/18/2007
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health10/1/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life10/1/20013/31/2003
InactivePacific Life Insurance Company301848Agent - Life11/18/19987/16/2009
InactiveProtective Life Insurance Company300638Agent - Life4/1/20073/31/2010
InactivePruco Life Insurance Company300954Agent - Health11/18/19983/31/2010
InactivePruco Life Insurance Company300954Agent - Life11/18/19983/31/2010
InactivePrudential Insurance Company of America300784Agent - Health10/31/19983/31/2010
InactivePrudential Insurance Company of America300784Agent - Life10/31/19983/31/2010
InactiveReliance Standard Life Insurance Company300584Agent - Life11/17/20003/31/2010
InactiveTalcott Resolution Life Insurance Company301759Agent - Health9/28/20003/31/2010
InactiveTalcott Resolution Life Insurance Company301759Agent - Life9/28/20003/31/2010
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health9/28/20003/31/2010
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life9/28/20003/31/2010
InactiveU.S. Financial Life Insurance Company301812Agent - Life3/29/20079/20/2007
InactiveUSG Annuity & Life Company300457Agent - Health2/28/20001/1/2004
InactiveUSG Annuity & Life Company300457Agent - Life2/28/20001/1/2004
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/1/20017/11/2005
InactiveVenerable Insurance and Annuity Company301006Agent - Health1/1/20043/31/2010
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/1/20043/15/2010
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health4/23/19999/18/2003
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life4/23/19999/18/2003
InactiveWest Coast Life Insurance Company301607Agent - Health2/5/20033/31/2010
InactiveWest Coast Life Insurance Company301607Agent - Life2/5/20033/31/2010
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDwyer, Christopher Joseph 512871Agent - Health4/9/20013/31/2010
InactiveDwyer, Christopher Joseph 512871Agent - Life4/9/20013/31/2010
InactiveWalczak, Robert Joseph 318626Agent - Health7/31/19987/28/1999
InactiveWalczak, Robert Joseph 318626Agent - Life7/31/19987/28/1999
InactiveWhitehouse, Thomas Watts 367118Agent - Health7/31/199812/1/2000
InactiveWhitehouse, Thomas Watts 367118Agent - Life7/31/199812/1/2000

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