DEPARTMENT OF INSURANCE
Affiliations
NameProfessional Brokerage IncDOIID644315NAIC NPN2109244
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdministratorNot Applicable8/19/20083/31/2012 
ActiveNon ResidentAgentHealth10/3/2024 3/31/2026
ActiveNon ResidentAgentLife10/3/2024 3/31/2026
InactiveNon ResidentLife & Health ConsultantNot Applicable8/19/20088/6/2009 
* 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
InactiveAll Savers Insurance Company301940Agent - Health5/16/20225/31/2024
InactiveAll Savers Insurance Company301940Agent - Life5/16/20225/31/2024
InactiveCompanion Life Insurance Company300191Agent - Health8/10/20093/31/2012
InactiveCompanion Life Insurance Company300191Agent - Life8/10/20093/31/2012
InactiveHCC Life Insurance Company301827Agent - Health2/16/200912/3/2010
InactiveHCC Life Insurance Company301827Agent - Life2/16/200912/3/2010
InactiveUnitedHealthcare Insurance Company300946Agent - Health5/10/20225/31/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Life5/10/20225/31/2024
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/21/2024 
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Life5/10/20223/31/2024
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/10/20225/31/2024
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Life5/10/20223/31/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBurke, Deborah 711115Administrator - Not Applicable9/15/200912/7/2009
InactiveChilders, Frank Randall 390690Administrator - Not Applicable8/19/20089/4/2009
InactiveChilders, Frank Randall 390690Agent - Health9/8/20089/4/2009
InactiveChilders, Frank Randall 390690Agent - Life9/8/20089/4/2009
InactiveChilders, Frank Randall 390690Life & Health Consultant - Not Applicable8/19/20088/6/2009
ActiveDemarco, Frank J 686405Agent - Health10/3/2024 
ActiveDemarco, Frank J 686405Agent - Life10/3/2024 
InactiveJones, Jody 526854Administrator - Not Applicable9/15/20093/31/2012
InactiveMason, Deedra 711122Administrator - Not Applicable9/15/200912/7/2009
InactiveMcDonald, Barbara Jean 537149Administrator - Not Applicable8/17/20098/31/2009
InactiveWentworth, Patricia 711123Administrator - Not Applicable9/15/20093/31/2012
InactiveWilliams, Mildred 711274Administrator - Not Applicable9/15/200912/7/2009

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