DEPARTMENT OF INSURANCE
Affiliations
NameLong, Lester FordDOIID304067NAIC NPN549187
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdministratorNot Applicable8/20/199112/29/1998 
InactiveResidentAgentHealth9/5/198512/29/1998 
InactiveResidentAgentLife9/5/198512/29/1998 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveContinental Casualty Company301019Agent - Health12/4/199111/30/1996
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/5/198511/30/1996
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/5/198511/30/1996
InactiveReliaStar Life Insurance Company301712Agent - Health1/23/199712/29/1998
InactiveReliaStar Life Insurance Company301712Agent - Life1/23/199712/29/1998
InactiveWilco Life Insurance Company300122Agent - Health11/9/198811/30/1996
InactiveWilco Life Insurance Company300122Agent - Life11/9/198811/30/1996
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNational Insurance Agency Inc.401234Agent - Life1/23/19975/6/1998
InactiveNational Insurance Agency Inc.401234Agent - Health1/23/19975/6/1998
InactiveNational Insurance Agency Inc.401234Administrator - Not Applicable8/20/199112/29/1998

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