DEPARTMENT OF INSURANCE
Affiliations
NameBronson, La Chelle VerniseDOIID702691NAIC NPN6798277
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/8/2021 8/31/2025
ActiveNon ResidentAgentHealth10/8/2021 8/31/2025
* 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
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Life Insurance Company301209Agent - Health10/11/20118/31/2013
InactiveAnthem Life Insurance Company301209Agent - Life10/11/20118/31/2013
InactiveDental Concern Inc. (The)301641Agent - Health8/29/201111/3/2011
InactiveGerber Life Insurance Company300529Agent - Health10/13/201112/26/2012
InactiveGerber Life Insurance Company300529Agent - Life10/13/201112/26/2012
InactiveHumana Health Plan, Inc.300142Agent - Health8/29/201111/3/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/29/201111/3/2011
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/29/201111/3/2011
InactiveIndependent Order of Foresters300743Agent - Life6/28/20128/31/2013
InactiveKanawha Insurance Company300127Agent - Health3/11/201111/3/2011
InactiveKanawha Insurance Company300127Agent - Life3/11/201111/3/2011
InactiveMutual of Omaha Insurance Company301012Agent - Health11/18/201012/26/2012
InactiveOmaha Insurance Company751908Agent - Health7/13/20126/24/2013
ActiveProvident Life and Accident Insurance Company301525Agent - Health9/28/2022 
ActiveProvident Life and Accident Insurance Company301525Agent - Life9/28/2022 
ActiveReliaStar Life Insurance Company301712Agent - Health12/9/2022 
ActiveStarmount Life Insurance Company628031Agent - Health9/28/2022 
ActiveUNUM Life Insurance Company of America300817Agent - Health9/28/2022 
ActiveUNUM Life Insurance Company of America300817Agent - Life9/28/2022 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/18/201012/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/18/201012/26/2012
ActiveUnum Insurance Company301499Agent - Health9/28/2022 
ActiveUnum Insurance Company301499Agent - Life9/28/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health10/11/20118/31/2013
InactiveDesignated Agent Company Inc.681257Agent - Life10/11/20118/31/2013
DeniedGohealth LLC691445Agent - Health  
DeniedGohealth LLC691445Agent - Life  
ActiveHodges-Mace LLC1059189Agent - Health11/22/2022 
ActiveHodges-Mace LLC1059189Agent - Life11/22/2022 

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