DEPARTMENT OF INSURANCE
Affiliations
NameBronson, La Chelle VerniseDOIID702691NAIC NPN6798277
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/8/2021 8/31/2025
ActiveNon ResidentAgentLife10/8/2021 8/31/2025
* 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
InactiveAnthem Life Insurance Company301209Agent - Health10/11/20118/31/2013
InactiveAnthem Life Insurance Company301209Agent - Life10/11/20118/31/2013
InactiveDental Concern Inc. (The)301641Agent - Health8/29/201111/3/2011
InactiveGerber Life Insurance Company300529Agent - Health10/13/201112/26/2012
InactiveGerber Life Insurance Company300529Agent - Life10/13/201112/26/2012
InactiveHumana Health Plan, Inc.300142Agent - Health8/29/201111/3/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/29/201111/3/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/29/201111/3/2011
InactiveIndependent Order of Foresters300743Agent - Life6/28/20128/31/2013
InactiveKanawha Insurance Company300127Agent - Health3/11/201111/3/2011
InactiveKanawha Insurance Company300127Agent - Life3/11/201111/3/2011
InactiveMutual of Omaha Insurance Company301012Agent - Health11/18/201012/26/2012
InactiveOmaha Insurance Company751908Agent - Health7/13/20126/24/2013
ActiveProvident Life and Accident Insurance Company301525Agent - Health9/28/2022 
ActiveProvident Life and Accident Insurance Company301525Agent - Life9/28/2022 
ActiveReliaStar Life Insurance Company301712Agent - Health12/9/2022 
ActiveStarmount Life Insurance Company628031Agent - Health9/28/2022 
ActiveUNUM Life Insurance Company of America300817Agent - Health9/28/2022 
ActiveUNUM Life Insurance Company of America300817Agent - Life9/28/2022 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/18/201012/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/18/201012/26/2012
ActiveUnum Insurance Company301499Agent - Health9/28/2022 
ActiveUnum Insurance Company301499Agent - Life9/28/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health10/11/20118/31/2013
InactiveDesignated Agent Company Inc.681257Agent - Life10/11/20118/31/2013
DeniedGohealth LLC691445Agent - Health  
DeniedGohealth LLC691445Agent - Life  
ActiveHodges-Mace LLC1059189Agent - Health11/22/2022 
ActiveHodges-Mace LLC1059189Agent - Life11/22/2022 

© Commonwealth of Kentucky. All rights reserved.