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DEPARTMENT OF INSURANCE
Affiliations
Name
Stop Loss Insurance Services Inc
DOIID
705855
NAIC NPN
8862659
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
5/15/2009
12/31/2020
Inactive
Non Resident
Agent
Health
5/15/2009
12/31/2020
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
ACE American Insurance Company
300625
Agent - Health
5/18/2016
2/14/2018
Inactive
American Alternative Insurance Corporation
301697
Agent - Health
3/1/2010
8/31/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Health
1/10/2019
12/10/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Life
1/10/2019
12/10/2020
Inactive
Berkshire Hathaway Specialty Insurance Company
300908
Agent - Health
10/3/2016
12/31/2020
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
8/22/2011
7/10/2013
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
8/22/2011
7/10/2013
Inactive
HCC Life Insurance Company
301827
Agent - Health
6/2/2020
12/31/2020
Inactive
HCC Life Insurance Company
301827
Agent - Life
6/2/2020
12/31/2020
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
8/22/2011
7/10/2013
Inactive
Humana Insurance Company
301104
Agent - Health
8/22/2011
7/10/2013
Inactive
Humana Insurance Company
301104
Agent - Life
8/22/2011
7/10/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Health
8/22/2011
2/23/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
8/22/2011
2/23/2012
Inactive
Kanawha Insurance Company
300127
Agent - Health
8/22/2011
4/25/2013
Inactive
Kanawha Insurance Company
300127
Agent - Life
8/22/2011
4/25/2013
Inactive
SiriusPoint America Insurance Company
301148
Agent - Health
12/13/2017
12/31/2020
Inactive
Westport Insurance Corporation
301875
Agent - Health
1/15/2015
12/31/2020
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Bocek, Rebecca Ann
703594
Agent - Health
11/18/2014
12/31/2020
Inactive
Coolidge, Walter Nathan
527352
Agent - Health
5/15/2009
5/20/2011
Inactive
Coolidge, Walter Nathan
527352
Agent - Life
5/15/2009
5/20/2011
Inactive
Furman, Lorenda May
913419
Agent - Health
6/20/2016
2/14/2018
Denied
Furman, Lorenda May
913419
Agent - Life
Inactive
Gates, Gerald Michael
705006
Agent - Health
5/20/2011
12/31/2020
Inactive
Gates, Gerald Michael
705006
Agent - Life
5/20/2011
12/31/2020
Inactive
Mclellan, Raquel Eleana
723825
Agent - Health
5/14/2010
5/23/2016
Inactive
Mclellan, Raquel Eleana
723825
Agent - Life
5/14/2010
5/23/2016
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