DEPARTMENT OF INSURANCE

Affiliations

Name	Back, John Martin	DOIID	331593	NAIC NPN	1497829

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	12/21/1998		2/28/2026
Active	Resident	Agent	Property	8/15/2000		2/28/2026
Active	Resident	Agent	Health	12/21/1998		2/28/2026
Active	Resident	Agent	Casualty	8/15/2000		2/28/2026
Inactive	Resident	Agent	General Lines	6/19/1997	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2025	02/28/2026

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 - Health	4/11/2014	1/8/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	4/11/2014	1/8/2016
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	6/1/2009	12/31/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/1/2009	12/31/2012
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	4/16/2004	8/18/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/11/2001	7/16/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/11/2001	7/16/2010
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/13/2000	6/23/2011
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/8/2009	7/9/2010
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	11/27/2000	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	11/27/2000	12/31/2001
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/24/2009	6/25/2010
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/24/2009	6/25/2010
Inactive	Columbian Life Insurance Company	300810	Agent - Health	2/26/2007	6/25/2010
Inactive	Columbian Life Insurance Company	300810	Agent - Life	2/26/2007	6/25/2010
Inactive	Continental General Insurance Company	300691	Agent - Health	11/27/2000	1/2/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	11/27/2000	1/2/2002
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/19/2000	7/14/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/19/2000	7/14/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	10/25/2000	12/18/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	10/25/2000	12/18/2008
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/11/2000	7/6/2010
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	10/11/2000	7/6/2010
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/22/2006	6/9/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/22/2006	6/9/2008
Inactive	Great American Casualty Insurance Company	301764	Agent - General Lines	6/19/1997	7/1/1998
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	12/3/2008	8/8/2009
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	12/3/2008	8/8/2009
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	12/8/2000	5/2/2005
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	7/25/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	7/25/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/14/2005	7/15/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/14/2005	7/15/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/20/2005	10/15/2007
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - Casualty	8/15/2000	3/31/2004
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - General Lines	3/2/1999	8/15/2000
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - Property	8/15/2000	3/31/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/12/2000	2/7/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/3/2008	8/8/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/3/2008	8/8/2009
Inactive	United American Insurance Company	300910	Agent - Health	6/24/2016	2/25/2019
Inactive	United American Insurance Company	300910	Agent - Life	6/24/2016	2/25/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	5/20/2005	10/15/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	3/28/2002	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	3/28/2002	6/20/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	7/16/2010
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	7/16/2010
Inactive	Medlink Inc	400721	Agent - Health	1/14/2003	4/11/2014
Inactive	Medlink Inc	400721	Agent - Life	1/14/2003	4/11/2014