DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Republic Financial, Inc.	DOIID	1307687	NAIC NPN	20976156

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	10/30/2023		3/31/2027
Active	Resident	Agent	Health	10/30/2023		3/31/2027
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	10/16/2024
Active	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	2/28/2024
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/23/2024
Active	Liberty Bankers Life Insurance Company	542461	Agent - Life	2/23/2024
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	7/30/2024
Active	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	2/7/2024
Active	Pacific Life Insurance Company	301848	Agent - Health	8/27/2024
Active	Pacific Life Insurance Company	301848	Agent - Life	8/27/2024
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Life	4/30/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Health	7/30/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	7/30/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Shawn, Richard J	324251	Agent - Health	10/30/2023
Active	Shawn, Richard J	324251	Agent - Life	10/30/2023