DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dobroski, Debra S	DOIID	998217	NAIC NPN	4687065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	8/22/2018	3/31/2020
Inactive	Non Resident	Agent	Life	6/18/2018	3/31/2020
Inactive	Non Resident	Agent	Health	6/18/2018	3/31/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lifetime Benefit Solutions, Inc.	574373	Agent - Health	8/21/2018	9/6/2019
Inactive	Lifetime Benefit Solutions, Inc.	574373	Agent - Life	8/21/2018	9/6/2019
Inactive	Lifetime Benefit Solutions, Inc.	574373	Administrator - Not Applicable	10/3/2018	9/6/2019