PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameQueen III, Greenville BurtonDOIID733543NAIC NPN15873592
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth8/16/20107/1/2012 
InactiveResidentAgentLife8/16/20107/1/2012 
InactiveResidentAgentCasualty1/31/20117/1/2012 
* 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
InactiveBankers Life and Casualty Company300701Agent - Health8/16/20109/15/2010
InactiveBankers Life and Casualty Company300701Agent - Life8/16/20109/15/2010
InactiveColonial Penn Life Insurance Company300491Agent - Health8/16/20109/15/2010
InactiveColonial Penn Life Insurance Company300491Agent - Life8/20/20109/15/2010
InactiveCoventry Health and Life Insurance Company301771Agent - Health9/21/20107/1/2012
InactiveFirst Health Life & Health Insurance Company301735Agent - Health9/21/20107/1/2012
InactiveMidland National Life Insurance Company300923Agent - Health9/27/20107/1/2012
InactiveMidland National Life Insurance Company300923Agent - Life9/27/20107/1/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlliance Assurance Agency Ltd.401003Agent - Health9/21/20107/1/2012
InactiveAlliance Assurance Agency Ltd.401003Agent - Life9/27/20107/1/2012
InactiveMedlink Inc400721Agent - Health11/5/20107/1/2012
InactiveMedlink Inc400721Agent - Life11/5/20107/1/2012

© Commonwealth of Kentucky. All rights reserved.