PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameDisability Specialist IncDOIID604106NAIC NPN686859
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife9/15/200911/19/2021 
InactiveNon ResidentAgentHealth9/15/200911/19/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactivePrincipal Life Insurance Company300129Agent - Health10/9/200911/19/2021
InactivePrincipal Life Insurance Company300129Agent - Life10/9/200911/19/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFletcher, Scott J 570310Agent - Health7/11/201811/19/2021
InactiveFletcher, Scott J 570310Agent - Life7/11/20186/1/2021
DeniedKingsley, Jessica 774968Agent - Health  
DeniedKingsley, Jessica 774968Agent - Life  
DeniedMalott, Jennie Marie 1025428Agent - Health  
DeniedMalott, Jennie Marie 1025428Agent - Life  
DeniedMartin, John Michael 572543Agent - Health  
DeniedMartin, John Michael 572543Agent - Life  
InactivePollock, William Lawrence 321003Agent - Health9/15/20094/30/2018
InactivePollock, William Lawrence 321003Agent - Life9/15/20094/30/2018
InactiveRoberts, Christian Jordan Smith 804913Agent - Health7/11/201811/19/2021
InactiveRoberts, Christian Jordan Smith 804913Agent - Life7/11/201811/19/2021

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