DEPARTMENT OF INSURANCE
Affiliations
NamePrice, Virginia WDOIID660534NAIC NPN8892199
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth1/20/2023 11/30/2025
ActiveNon ResidentAgentLife1/20/2023 11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202511/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/30/200711/30/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/30/200711/30/2015
InactiveReliaStar Life Insurance Company301712Agent - Health10/24/20126/5/2015
InactiveReliaStar Life Insurance Company301712Agent - Life10/24/20126/5/2015
InactiveTrustmark Insurance Company300317Agent - Health7/26/20071/29/2013
InactiveTrustmark Insurance Company300317Agent - Life7/26/20071/29/2013
InactiveUNUM Life Insurance Company of America300817Agent - Health7/30/200711/30/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life7/30/200711/30/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveWillis Of Illinois Inc398318Agent - Life8/10/201211/30/2015
InactiveWillis Of Illinois Inc398318Agent - Health8/10/201211/30/2015

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