DEPARTMENT OF INSURANCE
Affiliations
NameStaples, David ArthurDOIID317644NAIC NPN1498768
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20014/22/2009 
InactiveNon ResidentAgentHealth1/24/19914/22/2009 
InactiveNon ResidentAgentCasualty8/15/20004/22/2009 
InactiveNon ResidentAgentProperty1/24/19914/22/2009 
InactiveNon ResidentAgentGeneral Lines1/31/19958/15/2000 
InactiveNon ResidentAgentLife1/24/19914/22/2009 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcacia Life Insurance Company300375Agent - Health5/5/20044/22/2009
InactiveAcacia Life Insurance Company300375Agent - Life5/5/20044/22/2009
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health1/24/199111/10/1997
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life1/24/199111/10/1997
InactiveAmeritas Life Insurance Corporation300126Agent - Life4/9/20074/22/2009
InactiveAmeritas Life Insurance Corporation300126Agent - Variable Life and Variable Annuities4/9/20074/22/2009
InactiveAmeritas Variable Life Insurance Company300665Agent - Life6/18/20015/1/2007
InactiveAmeritas Variable Life Insurance Company300665Agent - Variable Life and Variable Annuities6/18/20015/1/2007
InactiveEmployers Assurance Company300120Agent - General Lines1/31/199511/10/1997
InactiveHorace Mann Insurance Company301189Agent - Casualty8/15/20001/15/2008
InactiveHorace Mann Insurance Company301189Agent - General Lines3/5/19988/15/2000
InactiveHorace Mann Insurance Company301189Agent - Property8/15/20001/15/2008
InactiveHorace Mann Life Insurance Company300852Agent - Health3/3/19984/22/2009
InactiveHorace Mann Life Insurance Company300852Agent - Life3/3/19984/22/2009
InactiveHorace Mann Life Insurance Company300852Agent - Variable Life and Variable Annuities5/31/20014/22/2009
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health11/3/20004/22/2009
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life11/3/20004/22/2009
InactiveNational Specialty Insurance Company300993Agent - Property1/24/199111/10/1997
InactiveOakwood Insurance Company300453Agent - Property11/19/199611/10/1997
InactiveTeachers Insurance Company301839Agent - Casualty8/15/20001/15/2008
InactiveTeachers Insurance Company301839Agent - General Lines3/5/19988/15/2000
InactiveTeachers Insurance Company301839Agent - Property8/15/20001/15/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHorace Mann Service Corporation400869Agent - Life2/23/20044/22/2009
InactiveHorace Mann Service Corporation400869Agent - Health2/23/20044/22/2009
InactiveHorace Mann Service Corporation400869Agent - Property2/23/20041/15/2008
InactiveHorace Mann Service Corporation400869Agent - Casualty2/23/20041/15/2008

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