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DEPARTMENT OF INSURANCE
Affiliations
Name
Long Term Preferred Care, Inc.
DOIID
577837
NAIC NPN
686400
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
11/6/2003
3/31/2027
Active
Non Resident
Agent
Life
11/6/2003
3/31/2027
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2025
03/31/2025
01/17/2025
01/17/2025
Yes
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Dudacek, Robert Joseph
652606
Agent - Health
1/13/2016
9/13/2019
Inactive
Dudacek, Robert Joseph
652606
Agent - Life
1/13/2016
9/13/2019
Inactive
Ford, David Walter
308548
Agent - Health
11/6/2003
10/31/2008
Inactive
Ford, David Walter
308548
Agent - Life
11/6/2003
10/31/2008
Inactive
Harden, Jennifer Anne
308453
Agent - Health
2/24/2005
3/7/2007
Denied
Harden, Jennifer Anne
308453
Agent - Life
Active
Hoffman, Trisha J
997365
Agent - Health
9/13/2019
Active
Hoffman, Trisha J
997365
Agent - Life
9/13/2019
Inactive
Smith, Douglas Edward
639057
Agent - Health
1/12/2009
1/13/2016
Inactive
Smith, Douglas Edward
639057
Agent - Life
1/12/2009
1/13/2016
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