DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Towers Watson Retiree Ins Services Inc	DOIID	876790	NAIC NPN	17267073

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	6/6/2016		3/31/2027
Active	Non Resident	Agent	Life	5/1/2015		3/31/2027
* 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
Administrator	01/15/2027	03/31/2027
Agent	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Pruco Life Insurance Company	300954	Agent - Life	10/2/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Archer, Michael Allen	914346	Administrator - Not Applicable	6/6/2016	3/31/2026
Active	Bookman, Eric	1341832	Agent - Life	11/2/2026
Active	Brownstein, Charles Isaac	901604	Agent - Life	10/9/2025
Active	Calandro, Stephanie Ann	1373683	Agent - Life	10/26/2026
Active	Chickery, Anthony Michael	921061	Administrator - Not Applicable	7/21/2016
Active	Gantz, Robin Sue	732277	Agent - Life	10/26/2026
Active	King, Cynthia Coyle	904086	Administrator - Not Applicable	6/6/2016
Active	King, Cynthia Coyle	904086	Agent - Life	3/14/2017
Inactive	Lauziere, Veronique	854380	Administrator - Not Applicable	6/6/2016	7/31/2018
Inactive	Lauziere, Veronique	854380	Agent - Life	5/1/2015	3/14/2017
Active	Lawrence, Jennifer	811740	Agent - Life	10/26/2026
Active	Lederman, Ashley Kay	1481567	Agent - Life	10/26/2026
Active	Mccall, Jennifer L	1057869	Agent - Life	10/26/2026
Active	Schwartz, Eric Bradley	1056584	Agent - Life	10/26/2026
Active	Vary, Betsy Ann	903458	Agent - Life	10/16/2026
Inactive	Yim, John Yue Cuwan	914347	Administrator - Not Applicable	6/6/2016	3/31/2019
Active	Zhou, Amanda	938476	Agent - Life	10/26/2026