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DEPARTMENT OF INSURANCE
Affiliations
Name
Mallouk, Peter A
DOIID
724480
NAIC NPN
7024589
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
3/12/2010
3/6/2024
Inactive
Non Resident
Agent
Life
3/12/2010
3/6/2024
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
3/12/2010
11/8/2013
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Accendo Insurance Company
300312
Agent - Health
9/10/2021
11/17/2023
Inactive
Accendo Insurance Company
300312
Agent - Life
6/10/2020
3/6/2024
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
2/1/2011
3/6/2024
Inactive
Aetna Health of Ohio Inc.
1065035
Agent - Health
8/6/2020
3/6/2024
Inactive
Aetna Life Insurance Company
301140
Agent - Health
2/1/2011
3/6/2024
Inactive
Aetna Life Insurance Company
301140
Agent - Life
2/1/2011
3/6/2024
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
1/13/2021
3/6/2024
Inactive
American General Life Insurance Company
301585
Agent - Health
9/28/2017
6/8/2022
Inactive
American General Life Insurance Company
301585
Agent - Life
9/28/2017
6/8/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Health
11/11/2011
3/6/2024
Inactive
Anthem Life Insurance Company
301209
Agent - Life
11/11/2011
3/6/2024
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
3/28/2017
3/6/2024
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Life
3/28/2017
3/6/2024
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
12/14/2011
12/5/2014
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
3/6/2018
3/6/2024
Inactive
Coventry Health and Life Insurance Company
301771
Agent - Health
7/27/2016
3/6/2024
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
10/24/2019
4/8/2020
Inactive
Golden Rule Insurance Company
301943
Agent - Health
1/10/2012
12/13/2014
Inactive
Golden Rule Insurance Company
301943
Agent - Life
1/10/2012
12/13/2014
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
8/29/2016
12/13/2016
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
8/29/2016
12/13/2016
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
10/24/2019
4/8/2020
Inactive
Humana Insurance Company
301104
Agent - Health
10/24/2019
4/8/2020
Inactive
Humana Insurance Company
301104
Agent - Life
10/31/2018
4/29/2019
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
10/24/2019
4/8/2020
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
10/24/2019
4/8/2020
Inactive
Humana Medical Plan, Inc.
801568
Agent - Health
8/29/2016
12/13/2016
Inactive
Kanawha Insurance Company
300127
Agent - Health
12/20/2014
10/22/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
12/20/2014
10/22/2015
Inactive
Principal Life Insurance Company
300129
Agent - Health
5/16/2020
3/6/2024
Inactive
Principal Life Insurance Company
300129
Agent - Life
5/16/2020
3/6/2024
Inactive
Principal National Life Insurance Company
301926
Agent - Health
6/15/2017
3/6/2024
Inactive
Principal National Life Insurance Company
301926
Agent - Life
6/15/2017
3/6/2024
Inactive
Protective Life Insurance Company
300638
Agent - Health
8/13/2018
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Life
8/13/2018
11/23/2023
Inactive
Pruco Life Insurance Company
300954
Agent - Life
8/30/2018
11/25/2020
Inactive
SilverScript Insurance Company
663526
Agent - Health
10/28/2019
3/6/2024
Inactive
Thrivent Financial for Lutherans
301101
Agent - Health
5/24/2021
2/29/2024
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
5/5/2020
3/14/2024
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
5/5/2020
3/14/2024
Inactive
United World Life Insurance Company
300532
Agent - Health
7/16/2019
8/23/2021
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
11/5/2018
3/30/2020
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
2/12/2015
12/22/2015
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
5/9/2018
7/26/2019
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
12/9/2010
4/4/2022
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
4/6/2022
3/27/2023
Denied
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
10/28/2019
12/29/2021
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
10/28/2019
5/31/2023
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Creative Planning Insurance LLC
773015
Agent - Health
4/19/2023
1/12/2024
Inactive
Designated Agent Company Inc.
681257
Agent - Health
11/11/2011
3/6/2024
Inactive
Designated Agent Company Inc.
681257
Agent - Life
11/11/2011
3/6/2024
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