DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Agent Support Services LLC	DOIID	1087785	NAIC NPN	964513

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/30/2020		3/31/2026
Active	Non Resident	Agent	Health	6/30/2020		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	Guaranty Income Life Insurance Company	552451	Agent - Health	2/15/2023
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	2/15/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	1/20/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/20/2021
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	6/30/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/30/2020
Active	Pruco Life Insurance Company	300954	Agent - Health	4/7/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Graham, Mark Burnside	638756	Agent - Health	1/27/2021
Active	Graham, Mark Burnside	638756	Agent - Life	1/27/2021
Inactive	Kaufman, Samuel J	536693	Agent - Health	6/30/2020	1/27/2021
Inactive	Kaufman, Samuel J	536693	Agent - Life	6/30/2020	1/27/2021
Denied	Scheiner, Jay L	1246386	Agent - Health
Denied	Scheiner, Jay L	1246386	Agent - Life