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DEPARTMENT OF INSURANCE
Affiliations
Name
Bouchard, Philip J.
DOIID
535718
NAIC NPN
5623933
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
8/16/2001
3/31/2012
Inactive
Non Resident
Agent
Health
8/16/2001
3/31/2012
* 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
ACE American Insurance Company
300625
Agent - Health
1/27/2004
3/31/2012
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
8/16/2001
9/8/2010
Inactive
Humana Insurance Company
301104
Agent - Health
8/16/2001
9/8/2010
Inactive
Humana Insurance Company
301104
Agent - Life
8/16/2001
9/8/2010
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
2/4/2004
3/31/2012
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
2/4/2004
3/31/2012
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Mcgriff Insurance Services, LLC
400877
Agent - Health
7/24/2003
3/31/2012
Inactive
Mcgriff Insurance Services, LLC
400877
Agent - Life
7/24/2003
3/31/2012
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