DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Preferred Insurance Agency	DOIID	1300252	NAIC NPN	20047982

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/21/2023	2/2/2024
* 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
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/21/2023	2/2/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/21/2023	2/2/2024
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/21/2023	2/2/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Todd, Gary	1011623	Agent - Health	9/21/2023	2/2/2024