DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Duchesne, Edward L	DOIID	826286	NAIC NPN	7060894

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/31/2013		7/31/2024
Active	Non Resident	Agent	Health	10/31/2013		7/31/2024
* 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
Agent	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/6/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/6/2021
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	7/18/2017	6/24/2019
Active	Starmount Life Insurance Company	628031	Agent - Health	10/6/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/6/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/6/2021
Active	Unum Insurance Company	301499	Agent - Health	10/6/2021
Active	Unum Insurance Company	301499	Agent - Life	10/6/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Health	11/2/2021
Active	Optavise, LLC	671337	Agent - Life	11/2/2021