DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Monroe, David A	DOIID	371238	NAIC NPN	1891000

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/20/2002	6/1/2019
Inactive	Resident	Agent	Life	2/7/1986	6/1/2019
* 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	Omaha Insurance Company	751908	Agent - Health	12/1/2016	10/23/2017
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	9/20/2002	1/23/2019
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	2/7/1986	1/23/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	7/19/2004	1/23/2019
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	7/19/2004	1/23/2019