DEPARTMENT OF INSURANCE
Affiliations
NameMazon, Riccardo LDOIID966310NAIC NPN2427161
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife9/2/201712/31/2022 
InactiveNon ResidentAgentHealth9/2/201712/31/2022 
InactiveNon ResidentAgentCasualty11/13/201812/31/2022 
InactiveNon ResidentAgentProperty11/13/201812/31/2022 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/16/201910/8/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/16/201910/8/2021
InactiveStarmount Life Insurance Company628031Agent - Health1/16/201910/8/2021
InactiveUNUM Life Insurance Company of America300817Agent - Health1/16/201910/8/2021
InactiveUNUM Life Insurance Company of America300817Agent - Life1/16/201910/8/2021
InactiveUnum Insurance Company301499Agent - Health1/16/201910/8/2021
InactiveUnum Insurance Company301499Agent - Life1/16/201910/8/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAssurex Agency Inc722458Agent - Life11/6/201812/9/2022
InactiveAssurex Agency Inc722458Agent - Health11/6/201812/9/2022
DeniedAssurex Agency Inc722458Agent - Property  
DeniedAssurex Agency Inc722458Agent - Casualty  

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