DEPARTMENT OF INSURANCE
Affiliations
NameBox, Ann MarieDOIID1152941NAIC NPN1290695
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife11/18/20217/31/2024 
InactiveNon ResidentAgentHealth11/18/20217/31/2024 
InactiveNon ResidentAgentVariable Life and Variable Annuities8/20/20217/31/2024 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health11/24/20217/31/2024
InactiveAetna Health of Ohio Inc.1065035Agent - Health11/24/20217/31/2024
InactiveAetna Life Insurance Company301140Agent - Health11/24/20217/31/2024
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/10/20229/26/2022
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/7/20219/23/2022
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities9/17/20212/11/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities9/14/20213/14/2022
InactiveSilverScript Insurance Company663526Agent - Health11/24/20217/31/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTBS Agency, Inc.502294Agent - Variable Life and Variable Annuities9/7/20212/4/2022

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