DEPARTMENT OF INSURANCE
Affiliations
NameLong Term Preferred Care, Inc.DOIID577837NAIC NPN686400
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife11/6/2003 3/31/2025
ActiveNon ResidentAgentHealth11/6/2003 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDudacek, Robert Joseph 652606Agent - Health1/13/20169/13/2019
InactiveDudacek, Robert Joseph 652606Agent - Life1/13/20169/13/2019
InactiveFord, David Walter 308548Agent - Health11/6/200310/31/2008
InactiveFord, David Walter 308548Agent - Life11/6/200310/31/2008
InactiveHarden, Jennifer Anne 308453Agent - Health2/24/20053/7/2007
DeniedHarden, Jennifer Anne 308453Agent - Life  
ActiveHoffman, Trisha J 997365Agent - Health9/13/2019 
ActiveHoffman, Trisha J 997365Agent - Life9/13/2019 
InactiveSmith, Douglas Edward 639057Agent - Health1/12/20091/13/2016
InactiveSmith, Douglas Edward 639057Agent - Life1/12/20091/13/2016

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