PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameGallagher Re IncDOIID831244NAIC NPN1040331
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty1/10/2014 3/31/2026
ActiveNon ResidentAgentProperty1/10/2014 3/31/2026
ActiveNon ResidentAgentLife4/20/2015 3/31/2026
ActiveNon ResidentAgentHealth1/10/2014 3/31/2026
ActiveNon ResidentReinsurance Intermediary BrokerNot Applicable3/31/2014 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   
Reinsurance Intermediary Broker01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHM Life Insurance Company301408Agent - Health5/16/20189/30/2021
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/12/20205/31/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/12/20205/31/2024
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/12/20205/31/2024
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Life3/12/20205/19/2025
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/12/20205/31/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAsselin, Bethany 1320344Agent - Casualty4/23/20244/29/2024
InactiveAsselin, Bethany 1320344Agent - Property4/23/20244/29/2024
ActiveFallon, James T 368352Agent - Health2/16/2024 
DeniedFallon, James T 368352Agent - Life  
ActiveFast, Robert Barron 873807Agent - Health3/12/2020 
ActiveFast, Robert Barron 873807Agent - Life3/12/2020 
InactiveHumphreys, Charles Edward 830735Agent - Casualty1/10/20148/26/2019
InactiveHumphreys, Charles Edward 830735Agent - Health1/10/20148/26/2019
InactiveHumphreys, Charles Edward 830735Agent - Property1/10/20148/26/2019
InactiveLachance, Michael D 362340Agent - Health9/4/20197/9/2020
InactiveLachance, Michael D 362340Agent - Life9/4/20197/9/2020
InactiveNordstrom-Medak, Rachel Sara 641115Agent - Casualty2/4/201610/17/2016
InactiveNordstrom-Medak, Rachel Sara 641115Agent - Property2/4/201610/17/2016
ActiveWhelan, Sean P 837172Agent - Casualty9/10/2019 
ActiveWhelan, Sean P 837172Agent - Property9/10/2019 
ActiveWhelan, Sean P 837172Reinsurance Intermediary Broker - Not Applicable3/31/2014 

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