DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Union Privilege Inc	DOIID	600375	NAIC NPN	7118407

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/20/2005		3/31/2025
Active	Non Resident	Agent	Casualty	9/23/2019		3/31/2025
Active	Non Resident	Agent	Property	9/23/2019		3/31/2025
Active	Non Resident	Agent	Life	7/20/2005		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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Pet Insurance Company, Inc.	301240	Agent - Casualty	7/27/2023
Active	American Pet Insurance Company, Inc.	301240	Agent - Property	7/27/2023
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	9/11/2017	7/19/2021
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	9/11/2017	7/19/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/26/2013
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/26/2013
Active	Independence American Insurance Company	524747	Agent - Casualty	6/12/2023
Active	Independence American Insurance Company	524747	Agent - Property	6/12/2023
Active	Metropolitan Life Insurance Company	301948	Agent - Health	12/12/2013
Active	Metropolitan Life Insurance Company	301948	Agent - Life	12/12/2013
Inactive	United American Insurance Company	300910	Agent - Health	3/20/2009	2/23/2022
Inactive	United American Insurance Company	300910	Agent - Life	3/20/2009	2/23/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cybyske, Amy	1027834	Agent - Health	4/2/2019
Active	Cybyske, Amy	1027834	Agent - Life	4/2/2019
Inactive	Hilenski, Karen E	792204	Agent - Health	10/3/2012	8/14/2013
Inactive	Hilenski, Karen E	792204	Agent - Life	10/3/2012	8/14/2013
Inactive	Mcgehee, Andrew	807309	Agent - Casualty	4/18/2013	4/10/2019
Inactive	Mcgehee, Andrew	807309	Agent - Health	8/14/2013	4/10/2019
Inactive	Mcgehee, Andrew	807309	Agent - Life	8/14/2013	4/10/2019
Inactive	Mcgehee, Andrew	807309	Agent - Property	4/18/2013	4/10/2019
Inactive	Oppel, Joan S	590880	Agent - Health	7/20/2005	4/16/2009
Inactive	Oppel, Joan S	590880	Agent - Life	7/20/2005	4/16/2009
Active	Poindexter, Mark V	1037458	Agent - Casualty	9/23/2019
Active	Poindexter, Mark V	1037458	Agent - Health	8/13/2019
Active	Poindexter, Mark V	1037458	Agent - Life	8/13/2019
Active	Poindexter, Mark V	1037458	Agent - Property	9/23/2019
Inactive	Rakosky, Myra Mae	334047	Agent - Health	4/16/2009	10/12/2012
Inactive	Rakosky, Myra Mae	334047	Agent - Life	4/16/2009	10/12/2012