DEPARTMENT OF INSURANCE
Affiliations
NameHBDC II, IncDOIID641352NAIC NPN8795144
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth10/5/20063/31/2020 
InactiveNon ResidentAgentLife10/5/20063/31/2020 
* 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
InactiveAetna Health Inc.300694Agent - Health2/16/200712/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20077/15/2018
InactiveAetna Life Insurance Company301140Agent - Health2/16/20077/15/2018
InactiveAetna Life Insurance Company301140Agent - Life2/16/20077/15/2018
InactiveAmerican General Life Insurance Company301585Agent - Health11/5/20067/6/2010
InactiveAmerican General Life Insurance Company301585Agent - Life11/5/20067/6/2010
InactiveColorado Bankers Life Insurance Company301845Agent - Health12/11/20066/9/2009
InactiveColorado Bankers Life Insurance Company301845Agent - Life12/11/20066/9/2009
InactiveCompBenefits Dental, Inc.591692Agent - Health5/8/201312/8/2015
InactiveCompBenefits Insurance Company301864Agent - Health8/15/20087/20/2012
InactiveCompBenefits Insurance Company301864Agent - Life8/15/20087/20/2012
InactiveDental Concern Inc. (The)301641Agent - Health5/8/201312/8/2015
InactiveGolden Rule Insurance Company301943Agent - Health10/5/20068/18/2017
InactiveGolden Rule Insurance Company301943Agent - Life10/5/20068/18/2017
InactiveHumana Health Plan, Inc.300142Agent - Health5/8/201312/8/2015
InactiveHumana Insurance Company301104Agent - Health5/8/201312/13/2016
InactiveHumana Insurance Company301104Agent - Life5/8/201312/13/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/8/201312/8/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/8/201312/8/2015
InactiveHumanaDental Insurance Company301457Agent - Health12/14/20062/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life12/14/20062/23/2012
InactiveRevol One Insurance Company300681Agent - Health3/21/200812/7/2010
InactiveRevol One Insurance Company300681Agent - Life3/21/200812/7/2010
InactiveSecurity Life Insurance Company of America300936Agent - Health8/23/20073/23/2009
InactiveSecurity Life Insurance Company of America300936Agent - Life8/23/20073/23/2009
InactiveStandard Security Life Insurance Company of NY301487Agent - Health4/2/201012/26/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life4/2/201012/26/2018
InactiveTime Insurance Company300683Agent - Health11/8/20063/27/2012
InactiveTime Insurance Company300683Agent - Life11/8/20063/27/2012
InactiveUnited American Insurance Company300910Agent - Health11/1/200712/13/2010
InactiveUnited American Insurance Company300910Agent - Life11/1/200712/13/2010
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlexander, Derrick Allen 645326Agent - Health2/15/20078/31/2008
InactiveAlexander, Derrick Allen 645326Agent - Life2/15/20078/31/2008
InactiveAugustin, Reynald 662077Agent - Health8/17/200712/4/2007
InactiveAugustin, Reynald 662077Agent - Life8/17/200712/4/2007
InactiveBarker, Ricardo M 642099Agent - Health2/15/20075/31/2009
InactiveBarker, Ricardo M 642099Agent - Life2/15/20075/31/2009
InactiveBarnes, Kenneth D 655111Agent - Health5/30/200711/30/2008
InactiveBarnes, Kenneth D 655111Agent - Life5/30/200711/30/2008
InactiveBasiaga, Nicholas Grant 628377Agent - Health2/15/20072/28/2009
InactiveBasiaga, Nicholas Grant 628377Agent - Life2/15/20072/28/2009
InactiveBasta, Vladimir 642686Agent - Health2/16/200710/31/2010
InactiveBasta, Vladimir 642686Agent - Life2/16/200710/31/2010
InactiveBauer, Daniel Richard 645040Agent - Health2/16/20077/31/2009
InactiveBauer, Daniel Richard 645040Agent - Life2/16/20077/31/2009
InactiveBernstein, Michael S 601871Agent - Health2/15/200712/31/2008
InactiveBernstein, Michael S 601871Agent - Life2/15/200712/31/2008
InactiveBeverly, Tab Allen 628358Agent - Health3/6/200711/28/2008
InactiveBeverly, Tab Allen 628358Agent - Life3/6/200711/28/2008
InactiveBoskoff, Dana 624270Agent - Health2/15/20076/4/2007
InactiveBoskoff, Dana 624270Agent - Life2/15/20076/4/2007
InactiveBrooks, Mark 639033Agent - Health2/15/20076/4/2007
InactiveBrooks, Mark 639033Agent - Life2/15/20076/4/2007
InactiveBrow, David Jeremy 634408Agent - Health2/15/20078/31/2008
InactiveBrow, David Jeremy 634408Agent - Life2/15/20078/31/2008
InactiveBrown, Amala 637798Agent - Health11/23/20077/31/2011
InactiveBrown, Amala 637798Agent - Life11/23/20077/31/2011
InactiveBrumm, Keith Baird 646744Agent - Health2/15/20076/4/2007
InactiveBrumm, Keith Baird 646744Agent - Life2/15/20076/4/2007
InactiveBrunetti, Anthony 646060Agent - Health2/15/20076/4/2007
InactiveBrunetti, Anthony 646060Agent - Life2/15/20076/4/2007
InactiveBurner, Christopher Richard 655596Agent - Health5/18/20079/30/2013
InactiveBurner, Christopher Richard 655596Agent - Life5/18/20079/30/2013
InactiveCarnrite, Todd A 647985Agent - Health2/15/200710/31/2010
InactiveCarnrite, Todd A 647985Agent - Life2/15/200710/31/2010
InactiveChapman, Sean Thomas 628791Agent - Health2/15/20077/28/2009
InactiveChapman, Sean Thomas 628791Agent - Life2/15/20077/28/2009
InactiveCharles, Michael J 645042Agent - Health2/15/20076/4/2007
InactiveCharles, Michael J 645042Agent - Life2/15/20076/4/2007
InactiveChinigo, Michael Taliaferro 560045Agent - Health6/25/20099/8/2010
InactiveChinigo, Michael Taliaferro 560045Agent - Life6/25/20099/8/2010
InactiveCiatto, Frank Angelo 642687Agent - Health2/15/20078/31/2008
InactiveCiatto, Frank Angelo 642687Agent - Life2/15/20078/31/2008
InactiveClaudio, Robert Lee 655577Agent - Health5/30/20074/30/2010
InactiveClaudio, Robert Lee 655577Agent - Life5/30/20074/30/2010
InactiveCohen, Andrew Gordon 638255Agent - Health2/15/20078/31/2009
InactiveCohen, Andrew Gordon 638255Agent - Life2/15/20078/31/2009
InactiveCohen, Bryan Alexander 645393Agent - Health2/15/20076/4/2007
InactiveCohen, Bryan Alexander 645393Agent - Life2/15/20076/4/2007
InactiveCostagliola, Michael 655591Agent - Health5/30/20078/31/2008
InactiveCostagliola, Michael 655591Agent - Life5/30/20078/31/2008
InactiveCox, William Curtis 607089Agent - Health2/15/20073/31/2009
InactiveCox, William Curtis 607089Agent - Life2/15/20073/31/2009
InactiveCraparo, Thomas Michael 631472Agent - Health2/15/20079/30/2010
InactiveCraparo, Thomas Michael 631472Agent - Life2/15/20079/30/2010
InactiveDenton, Debra A 628351Agent - Health2/15/20071/31/2011
InactiveDieter, Christopher 628202Agent - Health2/15/20076/30/2009
InactiveDieter, Christopher 628202Agent - Life2/15/20076/30/2009
InactiveDoran, Robert Joseph 624455Agent - Health2/15/200712/31/2008
InactiveEissa, Charles Anthony 628384Agent - Health10/5/20066/24/2018
InactiveEissa, Charles Anthony 628384Agent - Life10/5/20066/24/2018
InactiveElbaum, James Eric 638635Agent - Health2/15/20072/28/2010
InactiveElbaum, James Eric 638635Agent - Life2/15/20072/28/2010
InactiveEstevez, Heather Linnea 631489Agent - Health2/15/20076/4/2007
InactiveEstevez, Heather Linnea 631489Agent - Life2/15/20076/4/2007
InactiveFerris, Christine Marie 602674Agent - Health2/15/20073/31/2020
InactiveFerris, Christine Marie 602674Agent - Life2/15/20073/31/2020
InactiveFinelli, Gennaro Angelo 671281Agent - Health1/14/20083/31/2009
InactiveFinelli, Gennaro Angelo 671281Agent - Life1/14/20083/31/2009
InactiveFisher, Troy O 629992Agent - Health2/15/20072/29/2008
InactiveFisher, Troy O 629992Agent - Life2/15/20072/29/2008
InactiveFrohman, Scott 608704Agent - Health10/5/200610/25/2007
InactiveGazyants, Vitaliy 668706Agent - Health12/4/20076/22/2010
InactiveGazyants, Vitaliy 668706Agent - Life12/4/20076/22/2010
InactiveGlasser, Zachary Michael 643031Agent - Health2/15/20076/30/2009
InactiveGlasser, Zachary Michael 643031Agent - Life2/15/20076/30/2009
InactiveGreenberg, Jerry V 614813Agent - Health2/15/20077/15/2013
InactiveGreenberg, Jerry V 614813Agent - Life2/15/20077/15/2013
InactiveGriswold, Erin Virginia 651432Agent - Health4/13/20075/31/2008
InactiveGriswold, Erin Virginia 651432Agent - Life5/23/20075/31/2008
InactiveGroover, Jeffrey Shane 631498Agent - Health2/15/200712/31/2012
InactiveGroover, Jeffrey Shane 631498Agent - Life2/15/200712/31/2012
InactiveHamm, James T 668698Agent - Health12/4/20077/31/2009
InactiveHamm, James T 668698Agent - Life12/4/20077/31/2009
InactiveHaytasingh, Robin N 628280Agent - Health2/15/200710/31/2008
InactiveHernandez, Luis Antonio 657147Agent - Health9/17/200812/31/2008
InactiveHernandez, Luis Antonio 657147Agent - Life9/17/200812/31/2008
InactiveHickey, Andrew 628260Agent - Health9/24/20074/30/2010
InactiveHickey, Andrew 628260Agent - Life9/24/20074/30/2010
InactiveHoofnagle, Brian Allen 638257Agent - Health2/15/20079/30/2009
InactiveHoofnagle, Brian Allen 638257Agent - Life2/15/20079/30/2009
InactiveHorne, Michael 644427Agent - Health8/13/20076/30/2009
InactiveHorne, Michael 644427Agent - Life8/13/20076/30/2009
InactiveHoward, Michael 665946Agent - Health11/23/20073/31/2009
InactiveHoward, Michael 665946Agent - Life11/23/20073/31/2009
InactiveHunter, Todd Michael 633064Agent - Health2/15/20076/4/2007
InactiveHunter, Todd Michael 633064Agent - Life2/15/20076/4/2007
InactiveIannacone, Alphonse 646062Agent - Health2/15/20079/30/2008
InactiveIannacone, Alphonse 646062Agent - Life2/15/20079/30/2008
InactiveIzaguirre, Erick A 628266Agent - Health2/15/20076/4/2007
InactiveJackson, Stephanie N 668588Agent - Health11/26/20072/28/2009
InactiveJackson, Stephanie N 668588Agent - Life11/26/20072/28/2009
InactiveJean-Louis, Myss Necole 624194Agent - Health2/15/20079/30/2010
InactiveJean-Louis, Myss Necole 624194Agent - Life2/15/20079/30/2010
InactiveJefferies, Anthony Amir 654765Agent - Health8/30/200711/30/2008
InactiveJefferies, Anthony Amir 654765Agent - Life8/30/200711/30/2008
InactiveJohnson, Christopher Andre 665992Agent - Health11/23/20071/31/2009
InactiveJohnson, Christopher Andre 665992Agent - Life11/23/20071/31/2009
InactiveKamen, Daniel E 642784Agent - Health2/15/20077/31/2009
InactiveKamen, Daniel E 642784Agent - Life2/15/20077/31/2009
InactiveKash, Mitchell Alan 654636Agent - Health5/30/200711/30/2009
InactiveKash, Mitchell Alan 654636Agent - Life5/30/200711/30/2009
InactiveKaufman, Lee 628263Agent - Health2/15/20077/31/2008
InactiveKaufman, Lee 628263Agent - Life2/15/20077/31/2008
InactiveKinnard, Gerald R 689719Agent - Health10/21/200812/31/2009
InactiveKinnard, Gerald R 689719Agent - Life10/21/200812/31/2009
InactiveKonstand, Nicholas 637879Agent - Health3/5/20079/28/2009
InactiveKraham, Joseph Halley 668796Agent - Health12/4/20079/30/2009
InactiveKraham, Joseph Halley 668796Agent - Life12/4/20079/30/2009
InactiveKushma, Megan 637880Agent - Health2/15/20076/4/2007
InactiveKushma, Megan 637880Agent - Life2/15/20076/4/2007
InactiveLamchick, Eric M 628272Agent - Health2/16/20071/31/2010
InactiveLamchick, Eric M 628272Agent - Life2/16/20071/31/2010
InactiveLande, Rita D 628281Agent - Health2/16/20071/15/2009
InactiveLande, Rita D 628281Agent - Life2/16/20071/15/2009
InactiveLata, Joseph E 647229Agent - Health2/16/20075/31/2012
InactiveLata, Joseph E 647229Agent - Life2/16/20075/31/2012
InactiveLikovic, Hajra 643301Agent - Health2/16/20076/4/2007
InactiveLikovic, Hajra 643301Agent - Life2/16/20076/4/2007
InactiveLopez, Rene R 605629Agent - Health2/16/20072/28/2009
InactiveLopez, Rene R 605629Agent - Life2/16/20072/28/2009
InactiveLugo, Alexander 638798Agent - Health2/16/20074/7/2016
InactiveLugo, Alexander 638798Agent - Life2/16/20074/7/2016
InactiveMajors, Brian M 655589Agent - Health5/18/20074/30/2009
InactiveMajors, Brian M 655589Agent - Life5/18/20074/30/2009
InactiveMammas, Christos D 636223Agent - Health2/16/20079/30/2009
InactiveMammas, Christos D 636223Agent - Life2/16/20079/30/2009
InactiveMartinez, David 653874Agent - Health5/2/20075/31/2008
InactiveMartinez, David 653874Agent - Life5/2/20075/31/2008
InactiveMathews, Joshua C 634688Agent - Health2/16/20073/31/2020
InactiveMathews, Joshua C 634688Agent - Life2/16/20073/31/2020
InactiveMcbain, Peter Calvin 644476Agent - Health2/16/20076/4/2007
InactiveMcbain, Peter Calvin 644476Agent - Life2/16/20076/4/2007
InactiveMccabe, Sean P 644304Agent - Health2/16/20076/4/2007
InactiveMccabe, Sean P 644304Agent - Life2/16/20076/4/2007
InactiveMcfadden, Antoine 668740Agent - Health12/4/20077/31/2009
InactiveMcfadden, Antoine 668740Agent - Life12/4/20077/31/2009
InactiveMead, David Joseph 599938Agent - Health2/16/20076/4/2007
InactiveMead, David Joseph 599938Agent - Life2/16/20076/4/2007
InactiveMeitner, Michelle A 650844Agent - Health4/6/200710/31/2009
InactiveMeitner, Michelle A 650844Agent - Life4/6/200710/31/2009
InactiveMessina, Jeffrey D 642665Agent - Health2/16/20073/31/2011
InactiveMessina, Jeffrey D 642665Agent - Life2/16/20073/31/2011
InactiveMiller, Jason R 643872Agent - Health2/16/20077/31/2009
InactiveMiller, Jason R 643872Agent - Life2/16/20077/31/2009
InactiveMorales, Vanessa 624732Agent - Health10/16/20078/31/2008
InactiveMorris, Matthew F 643871Agent - Health2/16/200710/21/2009
InactiveMorris, Matthew F 643871Agent - Life2/16/200710/21/2009
InactiveMoss, Darrell E 633289Agent - Health2/16/20076/4/2007
InactiveMoss, Darrell E 633289Agent - Life2/16/20076/4/2007
InactiveNavon, Todd J 635666Agent - Health2/16/200712/30/2009
InactiveNavon, Todd J 635666Agent - Life2/16/200712/30/2009
InactiveNewby, Gary 668743Agent - Health12/4/200711/30/2009
InactiveNewby, Gary 668743Agent - Life12/4/200711/30/2009
InactiveNieves, Jason Curtis 643078Agent - Health2/16/20077/30/2009
InactiveNieves, Jason Curtis 643078Agent - Life2/16/20077/30/2009
InactiveNole, Michael T 637794Agent - Health2/16/200712/31/2010
InactiveNole, Michael T 637794Agent - Life2/16/200712/31/2010
DeniedObrien, James E 628274Agent - Health  
DeniedObrien, James E 628274Agent - Life  
InactivePaul, Sean Michael 638216Agent - Health2/16/20076/4/2007
InactivePaul, Sean Michael 638216Agent - Life2/16/20076/4/2007
InactivePerez, Rose M 645041Agent - Health2/16/200711/30/2007
InactivePerez, Rose M 645041Agent - Life2/16/200711/30/2007
InactivePravata, Allyson Lee 645043Agent - Health2/16/200711/30/2008
InactivePravata, Allyson Lee 645043Agent - Life2/16/200711/30/2008
InactiveReedy, Clark Vincent 628282Agent - Health2/16/20078/31/2008
InactiveRodriguez, Ernest 645666Agent - Health2/16/20076/10/2009
InactiveRodriguez, Ernest 645666Agent - Life2/16/20076/10/2009
InactiveRodriguez, Victor James 637796Agent - Health2/16/200712/1/2010
InactiveRodriguez, Victor James 637796Agent - Life2/16/200712/1/2010
InactiveRosenberg, Jarret E 628289Agent - Life3/21/20075/31/2010
InactiveRubinoff, Janine 646708Agent - Health2/16/20074/30/2010
InactiveRubinoff, Janine 646708Agent - Life2/16/20074/30/2010
InactiveSarvas, Kerry Edward 657633Agent - Health8/13/20079/8/2010
InactiveSarvas, Kerry Edward 657633Agent - Life8/13/20079/8/2010
InactiveSchprejer, Rodolfo L 613260Agent - Health2/16/20071/31/2010
InactiveSchwenk, Jeffrey 608839Agent - Health2/16/20075/31/2008
InactiveSchwenk, Jeffrey 608839Agent - Life2/16/20075/31/2008
InactiveSerrano, Daniel Louis 668578Agent - Health11/26/20079/23/2010
InactiveSerrano, Daniel Louis 668578Agent - Life11/26/20079/23/2010
InactiveShapiro, Lisa Michelle 606365Agent - Health2/16/20072/28/2013
InactiveShapiro, Lisa Michelle 606365Agent - Life2/16/20072/28/2013
InactiveSimonetti, Anita Antonietta 628278Agent - Health2/16/20074/30/2008
InactiveSimonetti, Anita Antonietta 628278Agent - Life2/16/20074/30/2008
InactiveSmith, Jean Marie 634784Agent - Health2/16/20075/31/2012
InactiveSmith, Jean Marie 634784Agent - Life2/16/20075/31/2012
InactiveSoto, Ulises E 628340Agent - Health11/23/20076/30/2008
InactiveStudley, Roy Harold 601698Agent - Health2/16/20073/31/2020
InactiveStudley, Roy Harold 601698Agent - Life2/16/20073/31/2020
InactiveSultan, Steven S 653863Agent - Health5/2/20072/29/2012
InactiveSultan, Steven S 653863Agent - Life5/2/20072/29/2012
InactiveSutherland, Kim Marie 668771Agent - Health12/4/20073/17/2010
InactiveSutherland, Kim Marie 668771Agent - Life12/4/20073/17/2010
InactiveThomas, Shaun Michael 647524Agent - Health2/16/20078/31/2010
InactiveThomas, Shaun Michael 647524Agent - Life2/16/20078/31/2010
InactiveTitre, Irving 628486Agent - Health2/16/20076/30/2010
InactiveTitre, Irving 628486Agent - Life2/16/20076/30/2010
InactiveTobias, Michael Charles 596972Agent - Health2/16/20073/31/2020
InactiveTobias, Michael Charles 596972Agent - Life2/16/20073/31/2020
InactiveTorres, Jennifer Marie 619842Agent - Health11/27/20072/10/2009
InactiveTufaro, Eric 628334Agent - Health2/16/20072/29/2008
InactiveTufaro, Eric 628334Agent - Life2/16/20072/29/2008
InactiveTurpin, Chase W 638256Agent - Health2/16/20078/31/2010
InactiveTurpin, Chase W 638256Agent - Life2/16/20078/31/2010
InactiveVarona, Fabio C 653860Agent - Health5/2/20076/4/2007
InactiveVarona, Fabio C 653860Agent - Life5/2/20076/4/2007
InactiveVeraja, Stephen J 643027Agent - Health2/16/20075/31/2009
InactiveVeraja, Stephen J 643027Agent - Life2/16/20075/31/2009
InactiveVescovi, Vincent Orlando 666059Agent - Health11/23/20079/30/2009
InactiveVescovi, Vincent Orlando 666059Agent - Life11/23/20079/30/2009
InactiveVieira, Joseph Anthony 668773Agent - Health1/9/20083/17/2010
InactiveVieira, Joseph Anthony 668773Agent - Life1/9/20083/17/2010
InactiveWald, Stephanie 628265Agent - Health2/16/200711/30/2009
InactiveWald, Stephanie 628265Agent - Life2/16/200711/30/2009
InactiveWard, Edward Clark 619963Agent - Health7/11/200810/31/2009
InactiveWard, Edward Clark 619963Agent - Life7/11/200810/31/2009
InactiveWillis, Robert James 316900Agent - Health2/16/20079/28/2010
InactiveWillis, Robert James 316900Agent - Life2/16/20079/28/2010

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