DEPARTMENT OF INSURANCE
Affiliations
NamePrice, Virginia WDOIID660534NAIC NPN8892199
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentHealth1/20/2023 11/30/2025
Pending ReplacementNon 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.
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

© Commonwealth of Kentucky. All rights reserved.