black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DORINNE LOU ANDRUSYNA

PRODUCER NON-RESIDENT

License Number:
PRN432662
Status:
First Licensure:
10/01/2022
Cancel Date:
None

Mailing:
CARROLLTON, GA 30116
Phone:
+1 (770) 282-0324
Email:
dorinne.andrusyna@combined.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/01/2022

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/13/2022 LHF250 07/22/2025
STARMOUNT LIFE INSURANCE COMPANY
10/13/2022 LHD131525 07/22/2025
UNUM INSURANCE COMPANY
10/13/2022 LHD241 07/22/2025
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/13/2022 LHD145 07/22/2025

Authority

Description Issue Date Termination Date Status
HEALTH 10/01/2022 Active
LIFE 10/01/2022 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18127897

Other Addresses

Address Type
380 INTERSTATE NORTH PKWY SE STE 480
ATLANTA, GA 30339-2222
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 12/24/2025 09:18:14 AM