DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Curt DOIID822527NAIC NPN17066955
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty11/5/20145/31/2022 
InactiveNon ResidentAgentLife9/30/20135/31/2022 
InactiveNon ResidentAgentHealth9/30/20135/31/2022 
InactiveNon ResidentAgentProperty11/5/20145/31/2022 
* 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
InactiveContinental American Insurance Company301700Agent - Health10/28/20136/23/2015
InactiveContinental American Insurance Company301700Agent - Life10/28/20136/23/2015
InactiveNational Casualty Company301483Agent - Casualty4/16/20155/31/2022
InactiveNational Casualty Company301483Agent - Property4/16/20155/31/2022
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/10/20143/14/2016
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/10/20143/14/2016
InactiveReliaStar Life Insurance Company301712Agent - Health10/28/20135/31/2022
InactiveReliaStar Life Insurance Company301712Agent - Life10/28/20135/31/2022
InactiveUNUM Life Insurance Company of America300817Agent - Health9/10/20143/14/2016
InactiveUNUM Life Insurance Company of America300817Agent - Life9/10/20143/14/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDVM Insurance Agency636779Agent - Casualty4/20/20155/31/2022
InactiveDVM Insurance Agency636779Agent - Property4/20/20155/31/2022
InactiveMercer Health & Benefits Administration LLC656414Agent - Health1/9/20145/31/2022
InactiveMercer Health & Benefits Administration LLC656414Agent - Life1/9/20145/31/2022

© Commonwealth of Kentucky. All rights reserved.