PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameGallagher Re IncDOIID831244NAIC NPN1040331
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty1/10/2014 3/31/2026
ActiveNon ResidentAgentProperty1/10/2014 3/31/2026
ActiveNon ResidentAgentLife4/20/2015 3/31/2026
ActiveNon ResidentAgentHealth1/10/2014 3/31/2026
ActiveNon ResidentReinsurance Intermediary BrokerNot Applicable3/31/2014 3/31/2026
* 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
InactiveHM Life Insurance Company301408Agent - Health5/16/20189/30/2021
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/12/20205/31/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/12/20205/31/2024
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/12/20205/31/2024
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Life3/12/2020 
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/12/20205/31/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAsselin, Bethany 1320344Agent - Casualty4/23/20244/29/2024
InactiveAsselin, Bethany 1320344Agent - Property4/23/20244/29/2024
ActiveFallon, James T 368352Agent - Health2/16/2024 
DeniedFallon, James T 368352Agent - Life  
ActiveFast, Robert Barron 873807Agent - Health3/12/2020 
ActiveFast, Robert Barron 873807Agent - Life3/12/2020 
InactiveHumphreys, Charles Edward 830735Agent - Casualty1/10/20148/26/2019
InactiveHumphreys, Charles Edward 830735Agent - Health1/10/20148/26/2019
InactiveHumphreys, Charles Edward 830735Agent - Property1/10/20148/26/2019
InactiveLachance, Michael D 362340Agent - Health9/4/20197/9/2020
InactiveLachance, Michael D 362340Agent - Life9/4/20197/9/2020
InactiveNordstrom-Medak, Rachel Sara 641115Agent - Casualty2/4/201610/17/2016
InactiveNordstrom-Medak, Rachel Sara 641115Agent - Property2/4/201610/17/2016
ActiveWhelan, Sean P 837172Agent - Casualty9/10/2019 
ActiveWhelan, Sean P 837172Agent - Property9/10/2019 
ActiveWhelan, Sean P 837172Reinsurance Intermediary Broker - Not Applicable3/31/2014 

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