DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Culberson, Edward T	DOIID	1065129	NAIC NPN	5700068

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/13/2019		2/28/2026
Active	Non Resident	Agent	Life	11/13/2019		2/28/2026
* 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	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/17/2019	11/7/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/17/2019	11/7/2024
Active	Nationwide Life Insurance Company	300495	Agent - Health	10/10/2022
Active	Nationwide Life Insurance Company	300495	Agent - Life	10/10/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/19/2019	6/23/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/19/2019	6/23/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/19/2019	6/23/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/19/2019	6/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	11/19/2019	12/9/2022
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	11/19/2019	12/9/2022