DEPARTMENT OF INSURANCE

Affiliations

Name	Assuredpartners of Arizona LLC DBA : Duley Bolwar Pederson, Your Benefit Connection, YBWell	DOIID	981757	NAIC NPN	18660341

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/9/2018	3/31/2026
Active	Non Resident	Agent	Property	1/9/2018	3/31/2026
Active	Non Resident	Agent	Casualty	1/9/2018	3/31/2026
Active	Non Resident	Agent	Health	1/9/2018	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMCO Insurance Company	300204	Agent - Casualty	12/27/2019
Active	AMCO Insurance Company	300204	Agent - Property	12/27/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/14/2018	4/18/2018
Active	All America Insurance Company	300078	Agent - Casualty	5/19/2020
Active	All America Insurance Company	300078	Agent - Property	5/19/2020
Active	All Savers Insurance Company	301940	Agent - Health	3/24/2023
Active	All Savers Insurance Company	301940	Agent - Life	3/24/2023
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/16/2022
Active	Allied Insurance Company of America	793586	Agent - Property	2/16/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	12/27/2019
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	12/27/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	4/14/2018	4/18/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/26/2020	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/26/2020	12/13/2023
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	2/22/2018	6/15/2018
Active	Arch Insurance Company	300688	Agent - Casualty	11/28/2023
Active	Arch Insurance Company	300688	Agent - Property	11/28/2023
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	6/1/2023
Active	Auto-Owners Insurance Company	301480	Agent - Property	6/1/2023
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	6/1/2023	1/23/2025
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	6/1/2023	1/23/2025
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/23/2023
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/23/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/13/2023	2/19/2024
Active	Central Insurance Company	300965	Agent - Casualty	5/19/2020
Active	Central Insurance Company	300965	Agent - Property	5/19/2020
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	10/27/2022
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	10/27/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	10/27/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	10/27/2022
Active	Cincinnati Insurance Company	301298	Agent - Casualty	3/18/2022
Active	Cincinnati Insurance Company	301298	Agent - Property	3/18/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/10/2018
Active	Depositors Insurance Company	301634	Agent - Casualty	12/27/2019
Active	Depositors Insurance Company	301634	Agent - Property	12/27/2019
Active	Greenwich Insurance Company	301754	Agent - Casualty	7/30/2024
Active	Greenwich Insurance Company	301754	Agent - Property	7/30/2024
Active	Harleysville Insurance Company	301462	Agent - Casualty	12/30/2019
Active	Harleysville Insurance Company	301462	Agent - Property	12/30/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/22/2018	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/22/2018	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	2/22/2018	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	2/22/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/22/2018	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/22/2018	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/22/2018	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/22/2018	6/15/2018
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/31/2025
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/31/2025
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	1/8/2025
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	1/8/2025
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	12/27/2019
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	12/27/2019
Active	Nationwide Assurance Company	300166	Agent - Casualty	1/12/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	12/27/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	12/27/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	12/27/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	12/27/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	12/27/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	12/27/2019
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	1/12/2020
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	1/12/2020
Active	Owners Insurance Company	300796	Agent - Casualty	6/1/2023
Active	Owners Insurance Company	300796	Agent - Property	6/1/2023
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	1/8/2025
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	1/8/2025
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	1/8/2025
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	1/8/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/3/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/3/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	6/27/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	6/27/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/2/2018	11/25/2020
Active	Selective Insurance Company of America	500018	Agent - Casualty	4/26/2018
Active	Selective Insurance Company of America	500018	Agent - Property	4/26/2018
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	4/26/2018
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	4/26/2018
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	4/26/2018
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	4/26/2018
Active	Seneca Insurance Company Inc.	301762	Agent - Casualty	5/12/2021
Active	Seneca Insurance Company Inc.	301762	Agent - Property	5/12/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/23/2023
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	6/23/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	6/27/2023
Active	The Phoenix Insurance Company	301502	Agent - Casualty	6/23/2023
Active	The Phoenix Insurance Company	301502	Agent - Property	6/23/2023
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/23/2023
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/23/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	6/27/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	6/27/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	4/3/2023
Active	United Financial Casualty Company	301886	Agent - Property	4/3/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	12/19/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	12/19/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/19/2024	5/19/2025
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/19/2024	5/19/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/13/2023	2/19/2024
Active	Unum Insurance Company	301499	Agent - Health	6/27/2023
Active	Unum Insurance Company	301499	Agent - Life	6/27/2023
Active	XL Specialty Insurance Company	301605	Agent - Casualty	7/30/2024
Active	XL Specialty Insurance Company	301605	Agent - Property	7/30/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Eric Earl	311358	Agent - Casualty	1/16/2018	2/16/2022
Inactive	Anderson, Eric Earl	311358	Agent - Health	1/16/2018	2/16/2022
Inactive	Anderson, Eric Earl	311358	Agent - Life	1/16/2018	2/16/2022
Inactive	Anderson, Eric Earl	311358	Agent - Property	1/16/2018	2/16/2022
Active	Keysor, Mary Alice	1188157	Agent - Casualty	3/18/2022
Active	Keysor, Mary Alice	1188157	Agent - Health	3/9/2022
Active	Keysor, Mary Alice	1188157	Agent - Life	3/17/2022
Active	Keysor, Mary Alice	1188157	Agent - Property	3/18/2022
Active	Sorensen, Gregory Lee	748523	Agent - Casualty	8/17/2021
Denied	Sorensen, Gregory Lee	748523	Agent - Life
Active	Sorensen, Gregory Lee	748523	Agent - Property	8/17/2021