DEPARTMENT OF INSURANCE

Affiliations

Name	Haase, Andrew Michael	DOIID	309301	NAIC NPN	5943642

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/12/2021	2/28/2025
Inactive	Non Resident	Agent	Life	12/21/2016	2/28/2025
* 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 General Life Insurance Company	301585	Agent - Life	12/5/2018	6/13/2022
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	1/4/2017	12/26/2018
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	8/10/2004	9/30/2004
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	8/10/2004	9/30/2004
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	4/13/2023	2/17/2025
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/11/2024	12/12/2024
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/25/2002	4/30/2003
Inactive	Great Western Insurance Company	501693	Agent - Life	1/24/2017	12/28/2020
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/16/1995	12/1/1996
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/16/1995	12/1/1996
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/16/2021	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	4/16/2021	12/13/2022
Inactive	Independent Order of Foresters	300743	Agent - Life	7/26/2017	12/14/2018
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	12/21/1998	4/30/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	12/21/1998	3/9/2001
Inactive	National Financial Insurance Company	300555	Agent - Health	9/20/1995	3/28/1996
Inactive	National Financial Insurance Company	300555	Agent - Life	9/20/1995	3/28/1996
Inactive	Physicians Life Insurance Company	300924	Agent - Health	11/14/2001	4/19/2002
Inactive	Physicians Life Insurance Company	300924	Agent - Life	11/14/2001	4/30/2003
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	11/14/2001	4/30/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	11/10/1995	12/1/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	11/10/1995	12/1/1996
Inactive	Royal Neighbors of America	301646	Agent - Life	12/29/2016	2/28/2025
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/5/2017	2/17/2021
Inactive	United American Insurance Company	300910	Agent - Life	1/26/2021	12/19/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/13/2023	2/17/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/13/2023	2/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Financial Corporation	399864	Agent - Health	8/21/1995	8/12/1996
Inactive	Cornerstone Financial Corporation	399864	Agent - Life	8/21/1995	8/12/1996