DEPARTMENT OF INSURANCE
Affiliations
NameCentro Benefits Research LLCDOIID1073780NAIC NPN19414822
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth2/10/2020 3/31/2026
ActiveNon ResidentAgentLife2/10/2020 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Health3/17/2020 
ActiveAmerican United Life Insurance Company300498Agent - Health9/8/2024 
ActiveAmerican United Life Insurance Company300498Agent - Life9/8/2024 
ActiveCombined Insurance Company of America301472Agent - Health3/11/2020 
ActiveCombined Insurance Company of America301472Agent - Life3/11/2020 
ActiveDental Concern Inc. (The)301641Agent - Health9/12/2024 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Health8/15/2024 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Life8/15/2024 
ActiveGuardian Life Insurance Company of America301316Agent - Health3/23/2020 
ActiveGuardian Life Insurance Company of America301316Agent - Life3/23/2020 
ActiveHartford Life and Accident Insurance Company300878Agent - Health12/3/2021 
ActiveHartford Life and Accident Insurance Company300878Agent - Life12/3/2021 
ActiveHumana Insurance Company301104Agent - Health9/12/2024 
ActiveHumana Insurance Company of Kentucky300826Agent - Health9/12/2024 
ActiveHumana Insurance Company of Kentucky300826Agent - Life9/12/2024 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health5/28/2020 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life5/28/2020 
ActiveMetropolitan Life Insurance Company301948Agent - Health1/29/2021 
ActiveMetropolitan Life Insurance Company301948Agent - Life1/29/2021 
ActiveNational Guardian Life Insurance Company300596Agent - Health10/4/2023 
ActivePrincipal Life Insurance Company300129Agent - Health6/26/2020 
ActivePrincipal Life Insurance Company300129Agent - Life6/26/2020 
ActiveProvident Life and Accident Insurance Company301525Agent - Health4/15/2022 
ActiveProvident Life and Accident Insurance Company301525Agent - Life4/15/2022 
ActiveReliance Standard Life Insurance Company300584Agent - Health5/1/2025 
ActiveReliance Standard Life Insurance Company300584Agent - Life5/1/2025 
ActiveRenaissance Life & Health Insurance Company of America301447Agent - Health12/28/2023 
ActiveRenaissance Life & Health Insurance Company of America301447Agent - Life12/28/2023 
ActiveStarmount Life Insurance Company628031Agent - Health4/15/2022 
ActiveTransamerica Life Insurance Company300571Agent - Health6/22/2023 
ActiveTransamerica Life Insurance Company300571Agent - Life6/22/2023 
ActiveUNUM Life Insurance Company of America300817Agent - Health4/15/2022 
ActiveUNUM Life Insurance Company of America300817Agent - Life4/15/2022 
ActiveUnited Concordia Insurance Company903543Agent - Health11/15/2021 
ActiveUnum Insurance Company301499Agent - Health4/15/2022 
ActiveUnum Insurance Company301499Agent - Life4/15/2022 
ActiveVision Service Plan Insurance Company300526Agent - Health4/10/2020 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBruckman, Adam D 553893Agent - Health2/10/2020 
ActiveBruckman, Adam D 553893Agent - Life2/10/2020 

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