DEPARTMENT OF INSURANCE

Affiliations

Name	Lumico Life Ins Co (TPA)	DOIID	1071674	NAIC NPN	7909

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	1/31/2020	2/27/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allen, Donna J	389545	Administrator - Not Applicable	1/31/2020	11/9/2020
Inactive	Burton, Ray	757172	Administrator - Not Applicable	11/9/2020	2/27/2023