DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Storck, David Michael	DOIID	1085551	NAIC NPN	1834414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/5/2020		1/31/2025
Active	Non Resident	Agent	Limited Line Credit	6/5/2020		1/31/2025
Active	Non Resident	Agent	Health	5/20/2021		1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Health and Life Insurance Company	300844	Agent - Health	5/21/2021	2/22/2024
Inactive	American Health and Life Insurance Company	300844	Agent - Life	6/10/2020	2/22/2024
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	6/10/2020	2/22/2024
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	6/10/2020	2/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Onemain Assurance Services LLC	751094	Agent - Life	6/10/2020	2/22/2024
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	6/10/2020	2/22/2024
Inactive	Onemain Assurance Services LLC	751094	Agent - Health	5/21/2021	2/22/2024