PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameUllico Select LLCDOIID502043NAIC NPN964313
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife2/24/2000 3/31/2026
ActiveNon ResidentAgentProperty9/18/2020 3/31/2026
ActiveNon ResidentAgentCasualty9/18/2020 3/31/2026
ActiveNon ResidentAgentHealth2/24/2000 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
InactiveClover Insurance Company301587Agent - Health10/15/20013/31/2021
InactiveClover Insurance Company301587Agent - Life10/15/20013/31/2021
ActiveIndependence American Insurance Company524747Agent - Casualty1/14/2025 
ActiveIndependence American Insurance Company524747Agent - Property1/14/2025 
InactiveIndianapolis Life Insurance Company301381Agent - Life4/29/20024/5/2005
ActiveUnion Labor Life Insurance Company301832Agent - Health11/7/2003 
ActiveUnion Labor Life Insurance Company301832Agent - Life11/7/2003 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveArneson, Craig 764287Agent - Casualty9/18/2020 
ActiveArneson, Craig 764287Agent - Property9/18/2020 
InactiveBlock, Michael Ira 347411Agent - Health12/15/20032/2/2004
InactiveBlock, Michael Ira 347411Agent - Life12/15/20032/2/2004
InactiveDecinque, William Carmen 304649Agent - Health2/24/20007/24/2009
InactiveDecinque, William Carmen 304649Agent - Life2/24/20007/24/2009
ActiveDoherty, Brian J 763305Agent - Health9/16/2013 
ActiveDoherty, Brian J 763305Agent - Life9/16/2013 
InactiveFree, Dwight Willis 586296Agent - Health2/10/20051/3/2006
InactiveFree, Dwight Willis 586296Agent - Life2/10/20051/3/2006
InactiveHale, Brian 712632Agent - Health9/16/20139/6/2024
InactiveHale, Brian 712632Agent - Life9/16/20139/6/2024
InactiveNuccio, Philip Richard 688401Agent - Health10/24/20086/30/2013
InactiveNuccio, Philip Richard 688401Agent - Life10/24/20086/30/2013

© Commonwealth of Kentucky. All rights reserved.