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DEPARTMENT OF INSURANCE
Affiliations
Name
Professional Brokerage Inc
DOIID
644315
NAIC NPN
2109244
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Administrator
Not Applicable
8/19/2008
3/31/2012
Active
Non Resident
Agent
Health
10/3/2024
3/31/2026
Active
Non Resident
Agent
Life
10/3/2024
3/31/2026
Inactive
Non Resident
Life & Health Consultant
Not Applicable
8/19/2008
8/6/2009
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
All Savers Insurance Company
301940
Agent - Health
5/16/2022
5/31/2024
Inactive
All Savers Insurance Company
301940
Agent - Life
5/16/2022
5/31/2024
Inactive
Companion Life Insurance Company
300191
Agent - Health
8/10/2009
3/31/2012
Inactive
Companion Life Insurance Company
300191
Agent - Life
8/10/2009
3/31/2012
Inactive
HCC Life Insurance Company
301827
Agent - Health
2/16/2009
12/3/2010
Inactive
HCC Life Insurance Company
301827
Agent - Life
2/16/2009
12/3/2010
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
5/10/2022
5/31/2024
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
5/10/2022
5/31/2024
Active
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
10/21/2024
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Life
5/10/2022
3/31/2024
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
5/10/2022
5/31/2024
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Life
5/10/2022
3/31/2024
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Burke, Deborah
711115
Administrator - Not Applicable
9/15/2009
12/7/2009
Inactive
Childers, Frank Randall
390690
Administrator - Not Applicable
8/19/2008
9/4/2009
Inactive
Childers, Frank Randall
390690
Agent - Health
9/8/2008
9/4/2009
Inactive
Childers, Frank Randall
390690
Agent - Life
9/8/2008
9/4/2009
Inactive
Childers, Frank Randall
390690
Life & Health Consultant - Not Applicable
8/19/2008
8/6/2009
Active
Demarco, Frank J
686405
Agent - Health
10/3/2024
Active
Demarco, Frank J
686405
Agent - Life
10/3/2024
Inactive
Jones, Jody
526854
Administrator - Not Applicable
9/15/2009
3/31/2012
Inactive
Mason, Deedra
711122
Administrator - Not Applicable
9/15/2009
12/7/2009
Inactive
McDonald, Barbara Jean
537149
Administrator - Not Applicable
8/17/2009
8/31/2009
Inactive
Wentworth, Patricia
711123
Administrator - Not Applicable
9/15/2009
3/31/2012
Inactive
Williams, Mildred
711274
Administrator - Not Applicable
9/15/2009
12/7/2009
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