DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ratekin, Lori	DOIID	937834	NAIC NPN	6842168

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/22/2016		10/31/2024
Active	Non Resident	Agent	Life	11/22/2016		10/31/2024
Inactive	Non Resident	Agent	Property	8/6/2017	6/13/2023
Inactive	Non Resident	Agent	Casualty	8/6/2017	6/13/2023
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Continental American Insurance Company	301700	Agent - Health	2/16/2017
Active	Continental American Insurance Company	301700	Agent - Life	2/16/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/6/2017	7/17/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/6/2017	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/6/2017	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/6/2017	7/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Health	2/1/2019
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Life	2/1/2019
Denied	Mercer Health & Benefits Administration Llc	656414	Agent - Property
Denied	Mercer Health & Benefits Administration Llc	656414	Agent - Casualty