DEPARTMENT OF INSURANCE
Affiliations
NameH&R Block Health Ins Agency IncDOIID815294NAIC NPN17008240
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth7/23/20133/31/2019 
InactiveNon ResidentAgentLife7/23/20133/31/2019 
* 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
InactiveGolden Rule Insurance Company301943Agent - Health11/1/20133/11/2016
InactiveGolden Rule Insurance Company301943Agent - Life11/1/20133/11/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/5/20153/21/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCiaramitaro, Mark Alfred 827298Agent - Health2/25/20145/28/2015
InactiveCiaramitaro, Mark Alfred 827298Agent - Life2/25/20145/28/2015
InactiveHarrington, Ethan J 559011Agent - Health7/23/20133/31/2019
InactiveHarrington, Ethan J 559011Agent - Life7/23/20133/31/2019
InactiveMosley, Cynthia K 783950Agent - Health3/10/20145/28/2015
InactiveMosley, Cynthia K 783950Agent - Life3/10/20145/28/2015

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