PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameInsurance Benefits For Organized WorkersDOIID850268NAIC NPN17359246
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth9/23/2020 3/31/2026
ActiveResidentAgentLife9/23/2020 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   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCombined Insurance Company of America301472Agent - Health10/17/2023 
ActiveCombined Insurance Company of America301472Agent - Life10/17/2023 
ActiveMetropolitan Life Insurance Company301948Agent - Health12/14/2022 
ActiveMetropolitan Life Insurance Company301948Agent - Life12/14/2022 
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/31/20143/31/2020
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/31/20143/31/2020
InactiveUNUM Life Insurance Company of America300817Agent - Health10/31/20143/31/2020
InactiveUNUM Life Insurance Company of America300817Agent - Life10/31/20143/31/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Health11/6/201412/2/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life11/6/201412/2/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health11/6/201412/2/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health11/6/201412/2/2016
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveManning, Roberta Jo 515423Agent - Health9/23/2020 
ActiveManning, Roberta Jo 515423Agent - Life9/23/2020 

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