DEPARTMENT OF INSURANCE
Affiliations
NameGardner, Mark LivingstonDOIID337863NAIC NPN1890695
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife10/31/1990 10/31/2025
ActiveResidentAgentVariable Life and Variable Annuities5/31/2001 10/31/2025
ActiveResidentAgentHealth10/31/1990 10/31/2025
InactiveResidentAgentPrepaid Dental Plan6/11/19993/1/2001 
InactiveResidentAgentHealth Maintenance Organization4/27/19953/1/2001 
* 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
InactiveAetna Health Inc.300694Agent - Health5/9/200212/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/22/2010
InactiveAetna Life Insurance Company301140Agent - Health5/9/20029/22/2010
InactiveAetna Life Insurance Company301140Agent - Life5/9/20029/22/2010
InactiveAllianz Life Insurance Company of North America301791Agent - Health8/2/20029/5/2003
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/2/20029/5/2003
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/8/2000 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/8/2000 
InactiveAmerican General Life Insurance Company301585Agent - Health1/20/202212/20/2023
InactiveAmerican General Life Insurance Company301585Agent - Life1/20/202212/20/2023
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/26/200112/20/2023
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health2/17/200512/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life2/17/200512/31/2012
InactiveAmerican Memorial Life Insurance Company301445Agent - Life10/12/20116/6/2013
InactiveAmerican National Insurance Company301861Agent - Life1/9/20031/10/2008
InactiveAmerican Network Insurance Company301156Agent - Health8/19/19982/25/2002
ActiveAmeritas Life Insurance Corporation300126Agent - Health3/1/2012 
ActiveAmeritas Life Insurance Corporation300126Agent - Life3/1/2012 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20014/1/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization4/27/19953/1/2001
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/23/2021 
ActiveAnthem Life Insurance Company301209Agent - Health2/23/1995 
ActiveAnthem Life Insurance Company301209Agent - Life2/23/1995 
InactiveAssurity Life Insurance Company301099Agent - Health3/7/201212/9/2014
InactiveAssurity Life Insurance Company301099Agent - Life3/7/201212/9/2014
InactiveAthene Annuity & Life Assurance Company301798Agent - Health4/5/199912/31/2002
InactiveAthene Annuity & Life Assurance Company301798Agent - Life10/1/20071/21/2010
ActiveAtlantic Coast Life Insurance Company642114Agent - Life8/30/2022 
InactiveBankers Life Insurance Company301784Agent - Life11/30/20112/8/2019
ActiveBanner Life Insurance Company301696Agent - Life8/9/1999 
InactiveBaptist Health Plan, Inc.300157Agent - Health3/1/20013/31/2019
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization3/6/19983/1/2001
InactiveBerkshire Life Insurance Company301158Agent - Health10/18/20007/1/2001
InactiveBerkshire Life Insurance Company301158Agent - Life10/18/20007/1/2001
InactiveBerkshire Life Insurance Company of America300983Agent - Health7/20/200110/5/2021
InactiveBerkshire Life Insurance Company of America300983Agent - Life7/20/200110/5/2021
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
InactiveC.M. Life Insurance Company301335Agent - Health3/25/199711/12/2012
InactiveC.M. Life Insurance Company301335Agent - Life3/25/199711/12/2012
InactiveCHA HMO, Inc.300662Agent - Health5/1/200210/10/2014
InactiveChase Insurance Life and Annuity Company300518Agent - Health4/15/19964/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life4/15/19964/1/2007
ActiveCincinnati Life Insurance Company (The)300601Agent - Health5/10/2018 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life5/10/2018 
InactiveCitizens Security Life Insurance Company301257Agent - Health11/21/199611/30/2004
InactiveCitizens Security Life Insurance Company301257Agent - Life11/21/199611/30/2004
InactiveClarica Life Insurance Company - U.S.300207Agent - Health2/7/19953/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Life2/7/19953/31/1997
ActiveClear Spring Life and Annuity Company300919Agent - Life6/26/2012 
InactiveCombined Insurance Company of America301472Agent - Health10/1/19962/20/2001
InactiveCombined Insurance Company of America301472Agent - Life10/1/19962/20/2001
InactiveCompBenefits Dental, Inc.591692Agent - Health4/25/20086/15/2018
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20087/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/23/2021 
InactiveConseco Insurance Company301202Agent - Life12/5/199510/1/2010
InactiveConseco Medical Insurance Company300719Agent - Health5/26/19953/31/1997
InactiveConseco Medical Insurance Company300719Agent - Life5/26/19953/31/1997
InactiveContinental Casualty Company301019Agent - Health12/14/199411/14/2005
InactiveContinental General Insurance Company300691Agent - Health5/8/19978/28/2000
InactiveContinental General Insurance Company300691Agent - Life5/8/19971/28/2003
InactiveCotton States Life Insurance Company300268Agent - Life11/14/200312/1/2006
InactiveDental Concern Inc. (The)301641Agent - Health1/2/202012/15/2020
InactiveDentiCare, Inc.300655Agent - Health3/1/200111/1/2005
InactiveDentiCare, Inc.300655Agent - Prepaid Dental Plan6/11/19993/1/2001
InactiveDirect General Life Insurance Company301045Agent - Health7/9/19965/23/2003
InactiveDirect General Life Insurance Company301045Agent - Life7/9/19965/23/2003
InactiveEquiTrust Life Insurance Company502870Agent - Life12/17/20098/10/2015
InactiveEquitable Financial Life Insurance Company300808Agent - Health5/15/201312/28/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Life5/15/201312/28/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities5/15/201312/28/2018
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life10/29/20044/11/2008
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life9/16/20144/16/2018
InactiveFidelity Security Life Insurance Company300466Agent - Health12/30/199611/8/2006
InactiveFidelity Security Life Insurance Company300466Agent - Life12/30/199611/8/2006
InactiveFinancial Benefit Life Insurance Company301049Agent - Life3/15/19992/19/2001
InactiveFirst Colony Life Insurance Company301179Agent - Life5/4/19941/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health3/5/199712/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life3/5/199712/23/2008
InactiveGenworth Life Insurance Company300623Agent - Health8/26/201012/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life8/26/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health10/10/19971/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life3/12/201512/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities9/4/20031/7/2014
InactiveGolden Rule Insurance Company301943Agent - Health10/31/200511/10/2008
InactiveGolden Rule Insurance Company301943Agent - Life10/31/200511/10/2008
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life11/10/20035/31/2014
InactiveGuardian Life Insurance Company of America301316Agent - Health8/21/199810/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life8/21/199810/5/2021
InactiveHartford Life Group Insurance Company301708Agent - Health3/21/200212/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life3/21/200212/31/2006
ActiveHartford Life and Accident Insurance Company300878Agent - Health4/15/2004 
ActiveHartford Life and Accident Insurance Company300878Agent - Life4/15/2004 
ActiveHumana Health Plan, Inc.300142Agent - Health3/1/2001 
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization10/17/19963/1/2001
ActiveHumana Insurance Company301104Agent - Health3/19/1991 
ActiveHumana Insurance Company301104Agent - Life3/19/1991 
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/30/20046/15/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/30/20046/15/2018
InactiveHumanaDental Insurance Company301457Agent - Health8/13/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life8/13/201212/19/2012
InactiveIllinois Mutual Life Insurance Company301479Agent - Health1/19/200611/17/2008
InactiveIllinois Mutual Life Insurance Company301479Agent - Life1/19/200611/17/2008
InactiveIndustrial Alliance Pacific Insurance and Financial Services, Inc.612512Agent - Life7/8/20107/19/2012
InactiveIntegrity Life Insurance Company301687Agent - Life11/27/200012/2/2008
InactiveInvestors Heritage Life Insurance Company300363Agent - Life10/30/20184/24/2024
InactiveJefferson National Life Insurance Company300258Agent - Life4/15/19976/8/2006
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health1/20/20067/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life1/20/20067/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health1/20/20064/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life1/20/20064/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health11/7/200311/14/2006
InactiveJohn Alden Life Insurance Company300573Agent - Life11/7/200311/14/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health2/8/20176/22/2022
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life2/8/20176/22/2022
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities6/20/20196/22/2022
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life1/9/200312/1/2005
InactiveKanawha Insurance Company300127Agent - Health4/10/200810/22/2015
InactiveKanawha Insurance Company300127Agent - Life4/10/200810/22/2015
InactiveKentucky Home Life Insurance Company300477Agent - Health8/30/20019/11/2003
InactiveKentucky Home Life Insurance Company300477Agent - Life8/30/20019/11/2003
InactiveLiberty Bankers Life Insurance Company542461Agent - Life2/22/20107/21/2022
ActiveLife Insurance Company of the Southwest301867Agent - Life12/20/2022 
InactiveLifeUSA Insurance Company300386Agent - Health4/16/19988/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life4/16/19988/2/2002
InactiveLincoln Benefit Life Company301110Agent - Health8/2/20047/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life5/1/19967/14/2014
ActiveLincoln National Life Insurance Company (The)301382Agent - Health3/22/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life3/22/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/22/2007 
ActiveManhattan Life Insurance Company300880Agent - Life10/31/1995 
InactiveManhattan National Life Insurance Company301011Agent - Health11/23/199410/11/1999
InactiveManhattan National Life Insurance Company301011Agent - Life11/23/199410/11/1999
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/22/199411/12/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life9/22/199411/12/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Health10/14/200511/14/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life4/25/201311/14/2014
InactiveMetropolitan Insurance and Annuity Company301239Agent - Health9/27/19943/31/1997
InactiveMetropolitan Insurance and Annuity Company301239Agent - Life9/27/19943/31/1997
ActiveMetropolitan Life Insurance Company301948Agent - Health9/27/1994 
ActiveMetropolitan Life Insurance Company301948Agent - Life9/27/1994 
InactiveMidland Life Insurance Company (The)300310Agent - Health1/29/19973/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life1/29/19973/31/2001
ActiveMinnesota Life Insurance Company300488Agent - Health4/4/2019 
ActiveMinnesota Life Insurance Company300488Agent - Life4/4/2019 
InactiveMutual of Omaha Insurance Company301012Agent - Health1/15/202012/22/2020
ActiveNYLIFE Insurance Company of Arizona301642Agent - Health10/31/1990 
ActiveNYLIFE Insurance Company of Arizona301642Agent - Life10/31/1990 
InactiveNational Western Life Insurance Company301515Agent - Health1/26/20053/17/2006
InactiveNational Western Life Insurance Company301515Agent - Life1/26/20053/17/2006
InactiveNationwide Life Insurance Company300495Agent - Health7/27/200512/10/2012
InactiveNationwide Life Insurance Company300495Agent - Life7/27/200512/10/2012
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities7/27/200512/10/2012
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health6/17/200910/21/2014
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life6/17/200912/10/2012
ActiveNew York Life Insurance Company300431Agent - Health10/31/1990 
ActiveNew York Life Insurance Company300431Agent - Life10/31/1990 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Health10/31/1990 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life10/31/1990 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities5/31/2001 
InactiveNorth American Company for Life and Health Insurance300291Agent - Life5/14/20124/23/2019
ActiveOceanview Life and Annuity Company301868Agent - Life7/27/2020 
ActiveOhio State Life Insurance Company (The)300865Agent - Life4/22/2021 
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health5/7/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life5/7/20013/31/2003
InactiveOld Republic Life Insurance Company301214Agent - Health9/9/19989/27/2004
InactiveOld Republic Life Insurance Company301214Agent - Life9/9/19989/27/2004
InactivePacific Life Insurance Company301848Agent - Life12/1/202012/10/2022
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities11/22/200711/14/2009
InactivePan-American Assurance Company301533Agent - Health2/28/20053/16/2007
InactivePan-American Assurance Company301533Agent - Life2/28/20053/16/2007
InactivePan-American Life Insurance Company301530Agent - Health2/28/20053/16/2007
InactivePan-American Life Insurance Company301530Agent - Life2/28/20053/16/2007
InactivePaul Revere Life Insurance Company300971Agent - Health7/27/199512/13/2002
InactivePaul Revere Life Insurance Company300971Agent - Life7/27/199512/7/2006
ActivePrincipal Life Insurance Company300129Agent - Health6/28/1995 
ActivePrincipal Life Insurance Company300129Agent - Life6/28/1995 
ActivePrincipal National Life Insurance Company301926Agent - Life9/26/2014 
ActiveProtective Life Insurance Company300638Agent - Health4/1/2007 
ActiveProtective Life Insurance Company300638Agent - Life4/1/2007 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities3/26/2008 
InactiveProvident Life and Accident Insurance Company301525Agent - Health6/22/199212/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life6/22/199212/30/2009
InactivePruco Life Insurance Company300954Agent - Health11/13/200012/23/2014
ActivePruco Life Insurance Company300954Agent - Life4/12/2023 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities4/12/2023 
InactivePrudential Insurance Company of America300784Agent - Health2/16/199912/17/2004
InactivePrudential Insurance Company of America300784Agent - Life2/16/199912/17/2004
InactiveReassure America Life Insurance Company300678Agent - Health1/14/19943/31/1997
InactiveReassure America Life Insurance Company301902Agent - Health3/15/19969/3/2004
InactiveReassure America Life Insurance Company300678Agent - Life1/14/19943/31/1997
InactiveReassure America Life Insurance Company301902Agent - Life3/15/19969/3/2004
InactiveReliaStar Life Insurance Company301712Agent - Health11/13/20089/16/2016
InactiveReliaStar Life Insurance Company301712Agent - Life11/13/20089/16/2016
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities11/13/20089/16/2016
ActiveReliance Standard Life Insurance Company300584Agent - Life12/13/2022 
ActiveSILAC Insurance Company300535Agent - Life5/15/2023 
InactiveSecurity Life of Denver Insurance Company300648Agent - Health11/13/20089/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life11/13/20089/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities11/13/20089/29/2012
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health7/2/199310/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life7/2/199310/1/2003
ActiveSentinel Security Life Insurance Company935789Agent - Health1/28/2022 
ActiveSentinel Security Life Insurance Company935789Agent - Life1/28/2022 
InactiveSettlers Life Insurance Company300189Agent - Health10/20/19943/31/1997
InactiveSettlers Life Insurance Company300189Agent - Life10/20/19943/31/1997
InactiveShenandoah Life Insurance Company300130Agent - Health5/13/20033/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life5/13/20033/31/2009
InactiveSoutheastern United Medigroup Inc.300198Agent - Health Maintenance Organization4/27/19953/1/2001
InactiveStandard Insurance Company300185Agent - Health2/15/200212/5/2022
InactiveStandard Insurance Company300185Agent - Life2/15/200212/5/2022
InactiveStandard Life Insurance Company of Indiana300116Agent - Health10/8/20013/31/2009
InactiveStandard Life Insurance Company of Indiana300116Agent - Life10/8/20013/31/2009
InactiveState Life Insurance Company301497Agent - Health3/9/20011/31/2007
InactiveState Life Insurance Company301497Agent - Life3/16/20011/31/2007
InactiveSymetra Life Insurance Company301691Agent - Health10/30/201411/15/2023
InactiveSymetra Life Insurance Company301691Agent - Life10/30/201411/15/2023
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities10/30/201411/15/2023
InactiveTalcott Resolution Life Insurance Company301759Agent - Health6/2/20089/27/2016
InactiveTalcott Resolution Life Insurance Company301759Agent - Life6/2/20089/27/2016
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities6/2/20089/27/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health6/2/20089/27/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life6/2/20089/27/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities6/2/20089/27/2016
ActiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life3/1/2021 
InactiveTransamerica Assurance Company300893Agent - Life4/16/19997/3/2003
ActiveTransamerica Life Insurance Company300571Agent - Health2/18/2011 
ActiveTransamerica Life Insurance Company300571Agent - Life2/18/2011 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities7/11/2014 
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life4/16/199910/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life4/16/199910/1/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Health2/23/199510/16/1996
InactiveTransamerica Premier Life Insurance Company300558Agent - Life2/23/199510/16/1996
InactiveU.S. Financial Life Insurance Company301812Agent - Life5/4/20069/26/2007
InactiveUSG Annuity & Life Company300457Agent - Life12/7/199510/17/2002
InactiveUnion Central Life Insurance Company300307Agent - Health11/5/20017/1/2014
InactiveUnion Central Life Insurance Company300307Agent - Life11/5/20017/1/2014
InactiveUnion Security Insurance Company301844Agent - Health11/1/20051/9/2015
InactiveUnited Home Life Insurance Company300421Agent - Life11/24/20037/20/2013
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health1/27/200012/28/2005
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life1/27/200012/28/2005
ActiveUnited of Omaha Life Insurance Company300156Agent - Health12/4/2022 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life12/4/2022 
ActiveUnited of Omaha Life Insurance Company300156Agent - Variable Life and Variable Annuities12/4/2022 
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/8/199811/29/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/8/199811/29/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/200111/29/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization4/8/19983/1/2001
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health10/16/200011/30/2006
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life10/16/200011/30/2006
InactiveWashington National Insurance Company300587Agent - Life10/1/201012/28/2010
InactiveWest Coast Life Insurance Company301607Agent - Life10/24/200311/16/2011
InactiveWestern National Life Insurance Company300461Agent - Life8/29/200011/30/2007
InactiveWilcac Life Insurance Company301573Agent - Health3/15/199612/6/2004
InactiveWilcac Life Insurance Company301573Agent - Life3/15/199612/6/2004
InactiveWoodmen Accident and Life Company300147Agent - Health12/9/199712/28/1998
InactiveWoodmen Accident and Life Company300147Agent - Life12/9/199712/28/1998
Inactive300277Agent - Health2/21/19961/1/2007
Inactive300277Agent - Life2/21/19961/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life8/30/19996/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health8/30/19996/23/2008
InactiveDental Choice Agency Inc.398085Agent - Health3/1/20011/10/2014
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
ActiveDesignated Agent Company Inc.681257Agent - Life6/28/2008 
ActiveDesignated Agent Company Inc.681257Agent - Health6/28/2008 
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveMedlink Inc400721Agent - Life11/8/20123/31/2024
InactiveMedlink Inc400721Agent - Health11/8/20123/31/2024
ActiveNYLIFE Securities, LLC645470Agent - Variable Life and Variable Annuities3/4/2008 

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