DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Supermarket Inc	DOIID	1097492	NAIC NPN	16958348

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	10/4/2023	4/1/2025
Active	Non Resident	Agent	Life	9/10/2020		3/31/2028
* 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	02/12/2026	02/12/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/27/2021	10/5/2022
Active	EMC National Life Company	300388	Agent - Life	11/18/2025
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	9/28/2020	9/16/2024
Active	Monitor Life Insurance Company of New York	1117550	Agent - Life	2/22/2024
Active	Pioneer American Insurance Company	301268	Agent - Life	6/30/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fonseca, Vanessa Diane	1276254	Administrator - Not Applicable	10/4/2023	1/31/2025
Inactive	Medina, Victoria	1094383	Agent - Life	9/10/2020	2/9/2026
Active	Rowe, Beahelasher Desair	1017468	Agent - Life	2/9/2026