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.

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