DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ancillary Choice LLC	DOIID	1070423	NAIC NPN	19397907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	3/3/2020		3/31/2026
Active	Resident	Agent	Life	4/26/2020		3/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Minnesota Life Insurance Company	300488	Agent - Life	8/19/2020
Active	Securian Life Insurance Company	300757	Agent - Life	8/19/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dues, Jeffrey Dues	626537	Agent - Life	4/26/2020
Denied	Eshenbaugh, Taunya Lynn	856196	Agent - Life
Inactive	Galbraith, Laura B	900050	Agent - Life	5/13/2020	4/2/2024
Denied	Hector, Tamela	802935	Agent - Life
Denied	Kirkpatrick, Kimberly Ann	309640	Agent - Life
Active	Nenni, Angela Jean	380110	Administrator - Not Applicable	3/3/2020
Denied	Petroni, Peggy Diane	969274	Agent - Life
Denied	Poston, Jeremy Scott	989750	Agent - Life
Denied	Smiley, Cheryl Jean	358529	Agent - Life
Active	Willis, Jessica Hancock	745135	Agent - Life	5/13/2020