DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Insurance Brokerage	DOIID	748731	NAIC NPN	16159165

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/24/2011	3/31/2015
Inactive	Resident	Agent	Health	2/24/2011	3/31/2015
* 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	Oxford Life Insurance Company	301079	Agent - Health	4/2/2012	3/7/2013
Inactive	Oxford Life Insurance Company	301079	Agent - Life	4/2/2012	3/7/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/24/2011	11/14/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/24/2011	3/31/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/24/2011	3/31/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boemker, Luke William	588692	Agent - Health	2/24/2011	3/31/2015
Inactive	Boemker, Luke William	588692	Agent - Life	2/24/2011	3/31/2015