DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Merrill, Cheryl Ann	DOIID	881944	NAIC NPN	17058749

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/29/2015		4/30/2027
Active	Non Resident	Agent	Life	6/29/2015		4/30/2027
* 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	02/15/2025	04/30/2025	02/20/2025	02/20/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/31/2020	8/14/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/31/2020	8/14/2023
Active	ReliaStar Life Insurance Company	301712	Agent - Health	9/10/2015
Active	ReliaStar Life Insurance Company	301712	Agent - Life	9/10/2015
Inactive	Starmount Life Insurance Company	628031	Agent - Health	4/22/2020	7/21/2022
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/29/2019
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/29/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/31/2020	8/14/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/31/2020	8/14/2023
Inactive	Unum Insurance Company	301499	Agent - Health	4/22/2020	7/21/2022
Inactive	Unum Insurance Company	301499	Agent - Life	4/22/2020	7/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custom Benefit Programs Inc	630774	Agent - Life	3/24/2022
Active	Custom Benefit Programs Inc	630774	Agent - Health	3/24/2022