DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Boeke, Holly	DOIID	955628	NAIC NPN	18362968

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/26/2017		10/31/2025
Active	Non Resident	Agent	Health	5/26/2017		10/31/2025
* 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	Provident Life and Accident Insurance Company	301525	Agent - Health	5/4/2020	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/4/2020	10/8/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	5/4/2020	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/4/2020	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/4/2020	10/8/2021
Inactive	Unum Insurance Company	301499	Agent - Health	5/4/2020	10/8/2021
Inactive	Unum Insurance Company	301499	Agent - Life	5/4/2020	10/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hylant Group, Inc.	523019	Agent - Health	5/11/2020	1/26/2021
Inactive	Hylant Group, Inc.	523019	Agent - Life	5/11/2020	1/26/2021