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DEPARTMENT OF INSURANCE
Affiliations
Name
Long, Lester Ford
DOIID
304067
NAIC NPN
549187
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Administrator
Not Applicable
8/20/1991
12/29/1998
Inactive
Resident
Agent
Health
9/5/1985
12/29/1998
Inactive
Resident
Agent
Life
9/5/1985
12/29/1998
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Continental Casualty Company
301019
Agent - Health
12/4/1991
11/30/1996
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
9/5/1985
11/30/1996
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
9/5/1985
11/30/1996
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
1/23/1997
12/29/1998
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
1/23/1997
12/29/1998
Inactive
Wilco Life Insurance Company
300122
Agent - Health
11/9/1988
11/30/1996
Inactive
Wilco Life Insurance Company
300122
Agent - Life
11/9/1988
11/30/1996
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
National Insurance Agency Inc.
401234
Agent - Life
1/23/1997
5/6/1998
Inactive
National Insurance Agency Inc.
401234
Agent - Health
1/23/1997
5/6/1998
Inactive
National Insurance Agency Inc.
401234
Administrator - Not Applicable
8/20/1991
12/29/1998
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