DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Duerksen, Bettina	DOIID	843395	NAIC NPN	17290233

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/18/2014	5/31/2021
Inactive	Non Resident	Agent	Casualty	8/10/2016	5/31/2021
Inactive	Non Resident	Agent	Property	8/10/2016	5/31/2021
Inactive	Non Resident	Agent	Life	6/18/2014	5/31/2021
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	8/14/2014	5/30/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/14/2014	5/30/2018
Inactive	Continental American Insurance Company	301700	Agent - Health	10/13/2014	6/30/2021
Inactive	Continental American Insurance Company	301700	Agent - Life	10/13/2014	6/30/2021
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/29/2014	8/3/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/29/2014	8/3/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/10/2016	5/31/2021
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/10/2016	5/31/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/14/2016	9/23/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/14/2016	9/23/2019
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/18/2015	5/31/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/18/2015	5/31/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/3/2014	5/31/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/3/2014	5/31/2021
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/26/2014	2/18/2019
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/26/2014	2/18/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/14/2016	9/23/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/14/2016	9/23/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/28/2019	5/31/2021
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/28/2019	5/31/2021
Denied	Mercer Health & Benefits Administration LLC	656414	Agent - Property
Denied	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty