PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameCarroll, Jack EdwardDOIID346151NAIC NPN7189706
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth6/10/199412/1/2000 
InactiveResidentAgentLife6/10/199412/1/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health7/19/19947/29/2000
InactiveAllianz Life Insurance Company of North America301791Agent - Life7/19/19947/29/2000
InactiveAmerican Investors Life Insurance Company, Inc.301358Agent - Life10/31/19943/31/1997
InactiveAmerican National Insurance Company301861Agent - Life9/2/199412/1/2000
InactiveOrder of United Commercial Travelers of America301723Agent - Life8/2/19968/15/1996
InactivePenn Treaty Network America Insurance Company301297Agent - Health7/17/199512/31/1998
InactivePenn Treaty Network America Insurance Company301297Agent - Life7/17/199512/31/1998
InactivePioneer Life Insurance Company300110Agent - Health3/11/19977/29/2000
InactivePioneer Life Insurance Company300110Agent - Life3/11/19977/29/2000
InactiveState Mutual Insurance Company300359Agent - Health11/3/19975/28/1999
InactiveState Mutual Insurance Company300359Agent - Life11/3/19975/28/1999
InactiveUnited Teacher Associates Insurance Company300747Agent - Health3/22/19963/31/1997
InactiveUnited Teacher Associates Insurance Company300747Agent - Life3/22/19963/31/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSenior Healthcare Insurance Associates Inc.399807Agent - Health6/10/199412/1/2000
InactiveSenior Healthcare Insurance Associates Inc.399807Agent - Life6/10/199412/1/2000

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