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DEPARTMENT OF INSURANCE
Affiliations
Name
Bruckman, Adam D
DOIID
553893
NAIC NPN
1015391
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
8/22/2002
5/31/2026
Active
Non Resident
Agent
Life
8/22/2002
5/31/2026
* 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
Aetna Health Inc.
300694
Agent - Health
9/26/2002
12/31/2007
Active
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
Active
Aetna Life Insurance Company
301140
Agent - Health
8/22/2002
Active
Aetna Life Insurance Company
301140
Agent - Life
8/22/2002
Active
All Savers Insurance Company
301940
Agent - Health
8/23/2017
Active
All Savers Insurance Company
301940
Agent - Life
8/23/2017
Active
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
9/30/2014
Active
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
9/30/2014
Inactive
American Fidelity Assurance Company
301004
Agent - Health
1/5/2012
2/26/2015
Inactive
American Fidelity Assurance Company
301004
Agent - Life
1/5/2012
2/26/2015
Active
American General Life Insurance Company
301585
Agent - Health
11/15/2021
Active
American General Life Insurance Company
301585
Agent - Life
11/15/2021
Inactive
American Public Life Insurance Company
300252
Agent - Health
2/5/2021
1/23/2023
Inactive
American Public Life Insurance Company
300252
Agent - Life
2/5/2021
1/23/2023
Active
American United Life Insurance Company
300498
Agent - Health
8/31/2011
Active
American United Life Insurance Company
300498
Agent - Life
8/31/2011
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
1/31/2025
Active
Banner Life Insurance Company
301696
Agent - Life
2/11/2003
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
10/22/2019
10/5/2021
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
10/22/2019
10/5/2021
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
4/1/2003
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
4/1/2003
4/1/2007
Active
Citizens Security Life Insurance Company
301257
Agent - Health
9/7/2010
Active
Citizens Security Life Insurance Company
301257
Agent - Life
9/7/2010
Active
Colonial Life and Accident Insurance Company
300846
Agent - Health
12/4/2015
Active
Colonial Life and Accident Insurance Company
300846
Agent - Life
12/4/2015
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
7/28/2009
3/14/2019
Active
CompBenefits Insurance Company
301864
Agent - Health
9/15/2020
Inactive
CompBenefits Insurance Company
301864
Agent - Life
7/28/2009
7/2/2013
Inactive
CompDent Corporation
301387
Agent - Health
7/2/2004
12/23/2004
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
10/28/2002
6/11/2014
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
10/28/2002
6/11/2014
Inactive
Continental Casualty Company
301019
Agent - Health
8/30/2023
9/1/2023
Inactive
Continental General Insurance Company
300691
Agent - Health
8/9/2018
1/25/2019
Inactive
Continental General Insurance Company
300691
Agent - Life
8/9/2018
1/25/2019
Active
Dearborn Life Insurance Company
300401
Agent - Health
7/23/2007
Active
Dearborn Life Insurance Company
300401
Agent - Life
7/23/2007
Pending Replacement
Dental Care Plus Inc.
301495
Agent - Health
3/10/2009
Active
Dental Concern Inc. (The)
301641
Agent - Health
3/18/2021
Inactive
DentiCare, Inc.
300655
Agent - Health
6/18/2003
11/1/2005
Active
Fidelity Security Life Insurance Company
300466
Agent - Health
2/2/2012
Active
Fidelity Security Life Insurance Company
300466
Agent - Life
2/2/2012
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
9/28/2002
10/8/2004
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
9/28/2002
10/8/2004
Active
Golden Rule Insurance Company
301943
Agent - Health
6/25/2013
Active
Golden Rule Insurance Company
301943
Agent - Life
6/25/2013
Active
Guardian Life Insurance Company of America
301316
Agent - Health
10/22/2019
Active
Guardian Life Insurance Company of America
301316
Agent - Life
10/22/2019
Inactive
HCC Life Insurance Company
301827
Agent - Health
11/2/2016
9/21/2017
Active
Hartford Life and Accident Insurance Company
300878
Agent - Health
12/27/2002
Active
Hartford Life and Accident Insurance Company
300878
Agent - Life
12/27/2002
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
9/10/2020
12/15/2020
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
9/10/2020
12/15/2020
Active
Humana Health Plan, Inc.
300142
Agent - Health
12/12/2002
Active
Humana Insurance Company
301104
Agent - Health
12/30/2020
Inactive
Humana Insurance Company
301104
Agent - Life
12/26/2018
12/19/2019
Active
Humana Insurance Company of Kentucky
300826
Agent - Health
12/30/2020
Active
Humana Insurance Company of Kentucky
300826
Agent - Life
12/30/2020
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
9/10/2020
12/15/2020
Inactive
Humana Wisconsin Health Organization Insurance Corporation
830687
Agent - Health
9/10/2020
12/15/2020
Inactive
HumanaDental Insurance Company
301457
Agent - Health
2/12/2010
5/13/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Life
2/12/2010
5/13/2013
Inactive
John Alden Life Insurance Company
300573
Agent - Health
9/18/2008
1/24/2013
Inactive
John Alden Life Insurance Company
300573
Agent - Life
9/18/2008
1/24/2013
Inactive
Kanawha Insurance Company
300127
Agent - Health
12/30/2008
8/9/2018
Inactive
Kanawha Insurance Company
300127
Agent - Life
12/30/2008
8/9/2018
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
9/13/2018
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
9/13/2018
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
8/17/2005
12/12/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
8/17/2005
12/12/2014
Active
National Guardian Life Insurance Company
300596
Agent - Health
9/5/2007
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
9/5/2007
7/7/2020
Inactive
National Health Insurance Company
300554
Agent - Health
1/6/2017
12/28/2020
Active
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Health
2/18/2015
Active
Nationwide Life Insurance Company
300495
Agent - Health
11/16/2011
Active
Nationwide Life Insurance Company
300495
Agent - Life
11/16/2011
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
10/22/2012
5/14/2018
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Health
10/28/2002
1/21/2003
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Life
10/28/2002
1/21/2003
Active
Principal Life Insurance Company
300129
Agent - Health
8/8/2003
Active
Principal Life Insurance Company
300129
Agent - Life
8/8/2003
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/1/2007
12/28/2009
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
12/28/2009
Active
Provident Life and Accident Insurance Company
301525
Agent - Health
9/2/2010
Active
Provident Life and Accident Insurance Company
301525
Agent - Life
9/2/2010
Active
Reliance Standard Life Insurance Company
300584
Agent - Health
2/1/2011
Active
Reliance Standard Life Insurance Company
300584
Agent - Life
2/1/2011
Active
Standard Insurance Company
300185
Agent - Health
9/21/2010
Active
Standard Insurance Company
300185
Agent - Life
9/21/2010
Active
Sun Life Assurance Company of Canada
301811
Agent - Health
9/26/2008
Active
Sun Life Assurance Company of Canada
301811
Agent - Life
9/26/2008
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Health
12/26/2002
2/8/2005
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Life
12/26/2002
2/8/2005
Pending Replacement
Superior Dental Care Inc.
300418
Agent - Health
2/4/2011
Inactive
Time Insurance Company
300683
Agent - Health
10/27/2014
11/23/2019
Inactive
Time Insurance Company
300683
Agent - Life
10/27/2014
11/23/2019
Active
Transamerica Life Insurance Company
300571
Agent - Health
4/13/2010
Active
Transamerica Life Insurance Company
300571
Agent - Life
4/13/2010
Active
UNUM Life Insurance Company of America
300817
Agent - Health
9/2/2010
Active
UNUM Life Insurance Company of America
300817
Agent - Life
9/2/2010
Inactive
Union Security Insurance Company
301844
Agent - Health
11/1/2005
3/13/2013
Active
United Concordia Insurance Company
903543
Agent - Health
12/31/2017
Inactive
United Concordia Life and Health Insurance Company
301220
Agent - Health
10/6/2015
12/31/2017
Active
United of Omaha Life Insurance Company
300156
Agent - Health
10/29/2002
Active
United of Omaha Life Insurance Company
300156
Agent - Life
10/29/2002
Active
UnitedHealthcare Insurance Company
300946
Agent - Health
6/26/2024
Active
UnitedHealthcare Insurance Company
300946
Agent - Life
6/26/2024
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
11/12/2015
10/18/2016
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
11/12/2015
10/18/2016
Active
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
6/26/2024
Active
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
6/26/2024
Inactive
Wilton Reassurance Life Company of New York
300163
Agent - Life
1/21/2003
6/8/2006
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Centro Benefits Research LLC
1073780
Agent - Health
2/10/2020
Active
Centro Benefits Research LLC
1073780
Agent - Life
2/10/2020
Active
Dental Choice Agency Inc.
398085
Agent - Health
7/9/2007
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/2/2013
2/13/2025
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/2/2013
2/13/2025
Active
Digital Insurance LLC
521672
Agent - Health
9/20/2002
Active
Digital Insurance LLC
521672
Agent - Life
9/20/2002
Active
Kistler Tiffany Benefits General Agency LLC
1074480
Agent - Health
2/14/2020
Active
Kistler Tiffany Benefits General Agency LLC
1074480
Agent - Life
2/14/2020
Inactive
Medlink Inc
400721
Agent - Health
5/13/2004
3/31/2024
Inactive
Medlink Inc
400721
Agent - Life
5/13/2004
3/31/2024
Active
Onedigital Expresslink LLC
1375584
Agent - Health
12/9/2024
Active
Onedigital Expresslink LLC
1375584
Agent - Life
12/9/2024
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