DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Disciplined Senior Partners	DOIID	1234365	NAIC NPN	20484294

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/3/2022	9/1/2023
Inactive	Resident	Agent	Health	10/3/2022	9/1/2023
* 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
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	10/25/2022	9/1/2023
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	11/11/2022	9/1/2023
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/15/2023	9/1/2023
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/15/2023	9/1/2023
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	11/22/2022	9/1/2023
Inactive	Royal Neighbors of America	301646	Agent - Life	8/31/2023	9/1/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ratcliffe, Leland Benjamin	942050	Agent - Health	10/3/2022	7/1/2023
Inactive	Ratcliffe, Leland Benjamin	942050	Agent - Life	10/3/2022	7/1/2023