DEPARTMENT OF INSURANCE

Affiliations

Name	Ubelhart, Alex	DOIID	757151	NAIC NPN	16277453

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/4/2011	12/31/2020
Inactive	Resident	Agent	Casualty	12/22/2011	12/31/2020
Inactive	Resident	Agent	Health	8/4/2011	12/31/2020
Inactive	Resident	Agent	Property	12/22/2011	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	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	8/1/2014	5/1/2017
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	7/23/2014	5/27/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	7/23/2014	5/27/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/23/2016	12/31/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/23/2016	12/31/2020
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/25/2014	8/4/2016
Inactive	Berkley National Insurance Company	515028	Agent - Casualty	4/21/2015	12/31/2020
Inactive	Berkley National Insurance Company	515028	Agent - Property	4/21/2015	12/31/2020
Inactive	Berkley Regional Insurance Company	300920	Agent - Casualty	4/21/2015	12/31/2020
Inactive	Berkley Regional Insurance Company	300920	Agent - Property	4/21/2015	12/31/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/18/2014	4/20/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/18/2014	4/20/2017
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/28/2016	9/28/2017
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/28/2016	9/28/2017
Inactive	Columbian Life Insurance Company	300810	Agent - Life	7/8/2016	12/31/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/11/2016	12/13/2016
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/23/2014	5/27/2016
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/23/2014	5/27/2016
Inactive	Dental Care Plus Inc.	301495	Agent - Health	4/25/2014	12/31/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/24/2014	12/10/2018
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	10/9/2014	5/27/2016
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	10/9/2014	5/27/2016
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	8/1/2014	5/1/2017
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Property	8/1/2014	5/1/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/25/2014	12/11/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/25/2014	12/11/2020
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	10/9/2014	5/27/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	10/9/2014	5/27/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/18/2014	4/20/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/18/2014	4/20/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	7/18/2014	4/20/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	7/18/2014	4/20/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	7/18/2014	4/20/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	7/18/2014	4/20/2017
Inactive	Gerber Life Insurance Company	300529	Agent - Health	3/7/2016	8/10/2019
Inactive	Gerber Life Insurance Company	300529	Agent - Life	3/7/2016	8/10/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/22/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/22/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/2/2015	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	3/6/2014	4/9/2019
Inactive	Humana Insurance Company	301104	Agent - Life	3/6/2014	4/9/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/11/2017	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/22/2016	12/13/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/6/2011	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/6/2011	2/23/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	2/19/2016	12/17/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/23/2014	5/27/2016
Inactive	Indiana Insurance Company	301909	Agent - Property	7/23/2014	5/27/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/9/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/9/2015	10/22/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	10/9/2014	5/27/2016
Inactive	LM Insurance Corporation	301061	Agent - Property	10/9/2014	5/27/2016
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	6/29/2016	12/31/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	10/9/2014	5/27/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Property	10/9/2014	5/27/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	10/9/2014	5/27/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	10/9/2014	5/27/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/9/2014	5/27/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/9/2014	5/27/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/23/2014	5/27/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/23/2014	5/27/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/23/2014	5/27/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/23/2014	5/27/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	7/23/2014	5/27/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	7/23/2014	5/27/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/23/2014	5/27/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	7/23/2014	5/27/2016
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/23/2014	5/27/2016
Inactive	Peerless Insurance Company	301910	Agent - Property	7/23/2014	5/27/2016
Inactive	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	8/12/2014	12/31/2020
Inactive	Philadelphia Indemnity Insurance Company	301221	Agent - Property	8/12/2014	12/31/2020
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/14/2014	12/22/2016
Inactive	StarNet Insurance Company	502746	Agent - Casualty	4/21/2015	12/31/2020
Inactive	StarNet Insurance Company	502746	Agent - Property	4/21/2015	12/31/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/10/2014	2/17/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/10/2014	2/17/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/26/2016	11/12/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/26/2016	11/12/2018
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	10/9/2014	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	10/9/2014	8/31/2015
Inactive	West American Insurance Company	301112	Agent - Casualty	7/23/2014	5/27/2016
Inactive	West American Insurance Company	301112	Agent - Property	7/23/2014	5/27/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/23/2016	12/31/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/23/2016	12/31/2020
Inactive	Epic Ins Solutions LLC	802896	Agent - Life	3/6/2014	5/2/2017
Inactive	Epic Ins Solutions LLC	802896	Agent - Health	1/2/2017	5/2/2017
Inactive	Epic Ins Solutions LLC	802896	Agent - Casualty	7/18/2014	5/2/2017
Inactive	Epic Ins Solutions LLC	802896	Agent - Property	7/18/2014	5/2/2017
Inactive	Haymarket Group LLC	903711	Agent - Life	1/12/2016	3/31/2018
Inactive	Haymarket Group LLC	903711	Agent - Health	1/12/2016	3/31/2018
Inactive	Haymarket Group LLC	903711	Agent - Casualty	3/9/2016	3/31/2018
Inactive	Haymarket Group LLC	903711	Agent - Property	3/9/2016	3/31/2018
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Life	4/2/2018	10/15/2018
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Health	4/2/2018	10/15/2018
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Casualty	4/2/2018	10/15/2018
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Property	4/2/2018	10/15/2018
Inactive	Medlink Inc	400721	Agent - Life	1/14/2016	12/31/2020
Inactive	Medlink Inc	400721	Agent - Health	1/14/2016	12/31/2020
Inactive	The Underwriters Group, Inc	674720	Agent - Life	10/23/2018	4/17/2020
Inactive	The Underwriters Group, Inc	674720	Agent - Health	10/23/2018	4/17/2020
Inactive	The Underwriters Group, Inc	674720	Agent - Casualty	10/23/2018	4/17/2020
Inactive	The Underwriters Group, Inc	674720	Agent - Property	10/23/2018	4/17/2020
Inactive	USI Midwest LLC	517736	Agent - Life	10/14/2011	7/10/2013
Inactive	USI Midwest LLC	517736	Agent - Health	10/14/2011	7/10/2013