DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Richardson, Suzette Rena	DOIID	778617	NAIC NPN	15918319

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/3/2012	8/31/2020
Inactive	Non Resident	Agent	Life	4/3/2012	8/31/2020
Active	Non Resident	Staff Adjuster	Property & Casualty	3/14/2018		8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Staff Adjuster	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/20/2012	12/10/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/10/2013	5/28/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2012	5/20/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/10/2013	5/28/2015
Inactive	Humana Insurance Company	301104	Agent - Health	7/13/2012	5/20/2014
Inactive	Humana Insurance Company	301104	Agent - Life	7/13/2012	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/20/2012	5/20/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/20/2012	5/20/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Affinity Insurance Services, Inc.	396178	Staff Adjuster - Property & Casualty	1/10/2019