DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Prudhomme, Mary Rebecca	DOIID	848123	NAIC NPN	17256881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/7/2018	4/30/2021
Pending Replacement	Non Resident	Agent	Casualty	5/26/2022		4/30/2025
Pending Replacement	Non Resident	Agent	Property	5/26/2022		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	11/13/2023	9/30/2024
Inactive	ACE American Insurance Company	300625	Agent - Property	11/13/2023	9/30/2024
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	12/30/2015	6/13/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/19/2018	2/20/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	12/19/2018	2/1/2019
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/19/2018	2/20/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/11/2015	6/13/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	12/19/2018	2/20/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Casualty	11/13/2023	9/30/2024
Inactive	Ttec Financial Services Management LLC	881063	Agent - Property	11/13/2023	9/30/2024