DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	United Brkrg Svcs Inc	DOIID	703960	NAIC NPN	5907544

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/1/2016	4/1/2022
Inactive	Non Resident	Agent	Health	2/1/2016	4/1/2022
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/22/2017	12/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/22/2017	12/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/22/2017	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/22/2017	8/9/2018
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	2/9/2016	4/1/2022
Inactive	Oceanview Life and Annuity Company	301868	Agent - Life	8/13/2020	4/1/2022
Inactive	State Life Insurance Company	301497	Agent - Life	4/11/2010	3/31/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nelko, Rachelle Lynn	718290	Agent - Health	2/1/2016	1/31/2022
Inactive	Nelko, Rachelle Lynn	718290	Agent - Life	2/1/2016	1/31/2022
Inactive	Raber, Rodney Lynn	526078	Agent - Health	5/28/2009	11/30/2009
Inactive	Raber, Rodney Lynn	526078	Agent - Life	5/28/2009	11/30/2009