DEPARTMENT OF INSURANCE
Affiliations
NameStop Loss Insurance Services IncDOIID705855NAIC NPN8862659
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife5/15/200912/31/2020 
InactiveNon ResidentAgentHealth5/15/200912/31/2020 
* 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
InactiveACE American Insurance Company300625Agent - Health5/18/20162/14/2018
InactiveAmerican Alternative Insurance Corporation301697Agent - Health3/1/20108/31/2020
InactiveAnthem Life Insurance Company301209Agent - Health1/10/201912/10/2020
InactiveAnthem Life Insurance Company301209Agent - Life1/10/201912/10/2020
InactiveBerkshire Hathaway Specialty Insurance Company300908Agent - Health10/3/201612/31/2020
InactiveCompBenefits Dental, Inc.591692Agent - Health8/22/20117/10/2013
InactiveDental Concern Inc. (The)301641Agent - Health8/22/20117/10/2013
InactiveHCC Life Insurance Company301827Agent - Health6/2/202012/31/2020
InactiveHCC Life Insurance Company301827Agent - Life6/2/202012/31/2020
InactiveHumana Health Plan, Inc.300142Agent - Health8/22/20117/10/2013
InactiveHumana Insurance Company301104Agent - Health8/22/20117/10/2013
InactiveHumana Insurance Company301104Agent - Life8/22/20117/10/2013
InactiveHumanaDental Insurance Company301457Agent - Health8/22/20112/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life8/22/20112/23/2012
InactiveKanawha Insurance Company300127Agent - Health8/22/20114/25/2013
InactiveKanawha Insurance Company300127Agent - Life8/22/20114/25/2013
InactiveSiriusPoint America Insurance Company301148Agent - Health12/13/201712/31/2020
InactiveWestport Insurance Corporation301875Agent - Health1/15/201512/31/2020
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBocek, Rebecca Ann 703594Agent - Health11/18/201412/31/2020
InactiveCoolidge, Walter Nathan 527352Agent - Health5/15/20095/20/2011
InactiveCoolidge, Walter Nathan 527352Agent - Life5/15/20095/20/2011
InactiveFurman, Lorenda May 913419Agent - Health6/20/20162/14/2018
DeniedFurman, Lorenda May 913419Agent - Life  
InactiveGates, Gerald Michael 705006Agent - Health5/20/201112/31/2020
InactiveGates, Gerald Michael 705006Agent - Life5/20/201112/31/2020
InactiveMclellan, Raquel Eleana 723825Agent - Health5/14/20105/23/2016
InactiveMclellan, Raquel Eleana 723825Agent - Life5/14/20105/23/2016

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