DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Budworth, Mary Anne	DOIID	981190	NAIC NPN	6554470

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/10/2018		3/31/2026
Active	Non Resident	Agent	Property	1/10/2018		3/31/2026
Active	Non Resident	Agent	Casualty	1/10/2018		3/31/2026
Active	Non Resident	Agent	Life	1/10/2018		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/1/2018	5/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/1/2018	5/31/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/1/2018	5/31/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/18/2022	5/31/2022
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	1/18/2018	1/4/2023
Inactive	Zurich American Insurance Company	301121	Agent - Property	1/18/2018	1/4/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Property	4/19/2018	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Life	4/19/2018	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Health	4/19/2018	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Casualty	4/19/2018	1/7/2020
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Property	2/1/2020	9/20/2021
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Life	2/1/2020	9/20/2021
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Health	2/1/2020	9/20/2021
Inactive	Willis Towers Watson Midwest, Inc	534348	Agent - Casualty	2/1/2020	9/20/2021