DEPARTMENT OF INSURANCE

Affiliations

Name	Tiller, Caleb Daniel	DOIID	1052496	NAIC NPN	19263030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/10/2019	11/30/2020
Inactive	Non Resident	Agent	Life	10/26/2023	11/30/2024
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	10/26/2023	11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	9/19/2019	1/30/2020
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	9/19/2019	1/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	LPL Enterprise, LLC	1333130	Agent - Life
Denied	LPL Enterprise, LLC	1333130	Agent - Variable Life and Variable Annuities