DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Integriant Ventures Insurance Services DBA : MAYBERRY LIFE INSURANCE SERVICES, NEIGHBORS RELIANCE INSURANCE SERVICES	DOIID	1073523	NAIC NPN	19406067

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/6/2020		3/31/2026
Active	Non Resident	Agent	Life	2/6/2020		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	Accendo Insurance Company	300312	Agent - Life	8/13/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	8/13/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	3/21/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/13/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	8/13/2021
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/8/2022
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/8/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/27/2020	2/23/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	9/16/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	9/16/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Jerro, William Erick	371053	Agent - Health	2/6/2020
Active	Jerro, William Erick	371053	Agent - Life	2/6/2020