DEPARTMENT OF INSURANCE

Affiliations

Name	Assuredpartners of Arizona LLC DBA : Duley Bolwar Pederson, Your Benefit Connection, YBWell	DOIID	981757	NAIC NPN	18660341

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/9/2018	3/31/2028
Active	Non Resident	Agent	Property	1/9/2018	3/31/2028
Active	Non Resident	Agent	Health	1/9/2018	3/31/2028
Active	Non Resident	Agent	Life	1/9/2018	3/31/2028
* 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
Active	AMCO Insurance Company	300204	Agent - Casualty	12/27/2019
Active	AMCO Insurance Company	300204	Agent - Property	12/27/2019
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/3/2026
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/14/2018	4/18/2018
Active	Aetna Life Insurance Company	301140	Agent - Health	2/3/2026
Active	All America Insurance Company	300078	Agent - Casualty	5/19/2020
Active	All America Insurance Company	300078	Agent - Property	5/19/2020
Active	All Savers Insurance Company	301940	Agent - Health	3/24/2023
Active	All Savers Insurance Company	301940	Agent - Life	3/24/2023
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/16/2022
Active	Allied Insurance Company of America	793586	Agent - Property	2/16/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	12/27/2019
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	12/27/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	4/14/2018	4/18/2018
Inactive	American Economy Insurance Company	300315	Agent - Casualty	7/17/2026	8/13/2026
Inactive	American Economy Insurance Company	300315	Agent - Property	7/17/2026	8/13/2026
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/26/2020	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/26/2020	12/13/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/22/2018	6/15/2018
Inactive	Arch Insurance Company	300688	Agent - Casualty	11/28/2023	8/11/2026
Inactive	Arch Insurance Company	300688	Agent - Property	11/28/2023	8/11/2026
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	6/1/2023	12/2/2025
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	6/1/2023	12/2/2025
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	6/1/2023	1/23/2025
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	6/1/2023	1/23/2025
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/23/2023	8/26/2026
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/23/2023	8/26/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/13/2023	2/19/2024
Active	Central Insurance Company	300965	Agent - Casualty	5/19/2020
Active	Central Insurance Company	300965	Agent - Property	5/19/2020
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	10/27/2022	9/2/2026
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	10/27/2022	9/2/2026
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	10/27/2022	9/2/2026
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	10/27/2022	9/2/2026
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	3/18/2022	9/2/2026
Inactive	Cincinnati Insurance Company	301298	Agent - Property	3/18/2022	9/2/2026
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/10/2018
Active	Depositors Insurance Company	301634	Agent - Casualty	12/27/2019
Active	Depositors Insurance Company	301634	Agent - Property	12/27/2019
Active	Greenwich Insurance Company	301754	Agent - Casualty	7/30/2024
Active	Greenwich Insurance Company	301754	Agent - Property	7/30/2024
Active	Harleysville Insurance Company	301462	Agent - Casualty	12/30/2019
Active	Harleysville Insurance Company	301462	Agent - Property	12/30/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/22/2018	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/22/2018	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	2/22/2018	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	2/22/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/22/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/22/2018	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/22/2018	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/22/2018	6/15/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/31/2025	8/12/2026
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/31/2025	8/12/2026
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	1/8/2025
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	1/8/2025
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	12/27/2019
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	12/27/2019
Active	Nationwide Assurance Company	300166	Agent - Casualty	1/12/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	12/27/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	12/27/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	12/27/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	12/27/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	12/27/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	12/27/2019
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	1/12/2020
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	1/12/2020
Inactive	Owners Insurance Company	300796	Agent - Casualty	6/1/2023	12/2/2025
Inactive	Owners Insurance Company	300796	Agent - Property	6/1/2023	12/2/2025
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	1/8/2025
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	1/8/2025
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	1/8/2025
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	1/8/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/3/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/3/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	6/27/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	6/27/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/2/2018	11/25/2020
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	4/26/2018	8/19/2026
Inactive	Selective Insurance Company of America	500018	Agent - Property	4/26/2018	8/19/2026
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	4/26/2018	8/19/2026
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	4/26/2018	8/19/2026
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	4/26/2018	8/19/2026
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	4/26/2018	8/19/2026
Inactive	Seneca Insurance Company Inc.	301762	Agent - Casualty	5/12/2021	7/24/2026
Inactive	Seneca Insurance Company Inc.	301762	Agent - Property	5/12/2021	7/24/2026
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/23/2023	8/26/2026
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/23/2023	8/26/2026
Active	Starmount Life Insurance Company	628031	Agent - Health	6/27/2023
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/23/2023	8/26/2026
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/23/2023	8/26/2026
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/23/2023	8/26/2026
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/23/2023	8/26/2026
Active	UNUM Life Insurance Company of America	300817	Agent - Health	6/27/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	6/27/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	4/3/2023
Active	United Financial Casualty Company	301886	Agent - Property	4/3/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/19/2024	10/24/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	12/19/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/19/2024	5/19/2025
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/19/2024	5/19/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/13/2023	2/19/2024
Active	Unum Insurance Company	301499	Agent - Health	6/27/2023
Active	Unum Insurance Company	301499	Agent - Life	6/27/2023
Active	XL Specialty Insurance Company	301605	Agent - Casualty	7/30/2024
Active	XL Specialty Insurance Company	301605	Agent - Property	7/30/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Eric Earl	311358	Agent - Casualty	1/16/2018	2/16/2022
Inactive	Anderson, Eric Earl	311358	Agent - Health	1/16/2018	2/16/2022
Inactive	Anderson, Eric Earl	311358	Agent - Life	1/16/2018	2/16/2022
Inactive	Anderson, Eric Earl	311358	Agent - Property	1/16/2018	2/16/2022
Active	Keysor, Mary Alice	1188157	Agent - Casualty	3/18/2022
Active	Keysor, Mary Alice	1188157	Agent - Health	3/9/2022
Active	Keysor, Mary Alice	1188157	Agent - Life	3/17/2022
Active	Keysor, Mary Alice	1188157	Agent - Property	3/18/2022
Active	Sorensen, Gregory Lee	748523	Agent - Casualty	8/17/2021
Denied	Sorensen, Gregory Lee	748523	Agent - Life
Active	Sorensen, Gregory Lee	748523	Agent - Property	8/17/2021