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DEPARTMENT OF INSURANCE
Affiliations
Name
Maxim Group LLC [The]
DOIID
398948
NAIC NPN
7221291
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
1/23/1995
3/31/2007
Inactive
Resident
Agent
Health
1/23/1995
3/31/2007
Inactive
Resident
Agent
Prepaid Dental Plan
4/29/1997
3/1/2001
* 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
ADENTA, Inc.
301437
Agent - Health
3/1/2001
7/15/2002
Inactive
ADENTA, Inc.
301437
Agent - Prepaid Dental Plan
4/29/1997
3/1/2001
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
6/13/1995
1/21/2005
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
6/13/1995
1/21/2005
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
4/27/1995
10/5/1998
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
4/27/1995
10/5/1998
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Health
5/19/1997
2/26/2001
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Life
5/19/1997
2/26/2001
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
1/22/1996
4/15/2005
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
1/22/1996
4/15/2005
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Health
8/7/1995
6/19/1998
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Life
8/7/1995
6/19/1998
Inactive
Citizens Security Life Insurance Company
301257
Agent - Health
5/29/1997
3/31/2007
Inactive
Citizens Security Life Insurance Company
301257
Agent - Life
5/29/1997
3/31/2007
Inactive
Combined Insurance Company of America
301472
Agent - Health
7/3/1995
2/26/2001
Inactive
Combined Insurance Company of America
301472
Agent - Life
7/3/1995
2/26/2001
Inactive
Companion Life Insurance Company
300191
Agent - Health
2/17/1995
12/16/2004
Inactive
Companion Life Insurance Company
300191
Agent - Life
2/17/1995
12/16/2004
Inactive
Emphesys Insurance Company
300598
Agent - Health
5/19/1997
12/29/1998
Inactive
Emphesys Insurance Company
300598
Agent - Life
5/19/1997
12/29/1998
Inactive
Guarantee Life Insurance Company
301560
Agent - Health
9/8/1995
9/8/2000
Inactive
Guarantee Life Insurance Company
301560
Agent - Life
9/8/1995
9/8/2000
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
9/8/2000
3/31/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
9/8/2000
3/31/2007
Inactive
Kansas City Life Insurance Company
301444
Agent - Health
6/21/1995
3/31/1997
Inactive
Kansas City Life Insurance Company
301444
Agent - Life
6/21/1995
3/31/1997
Inactive
Life Investors Insurance Company of America
301793
Agent - Health
7/31/1995
3/31/1997
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
7/31/1995
3/31/1997
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
6/19/1995
3/31/2007
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
6/19/1995
3/31/2007
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
8/24/1995
3/31/1997
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
8/24/1995
3/31/1997
Inactive
National Health Insurance Company
300554
Agent - Health
3/19/1996
3/31/1997
Inactive
National Health Insurance Company
300554
Agent - Life
3/19/1996
3/31/1997
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
5/19/1997
8/24/2000
Inactive
Protective Life Insurance Company
300638
Agent - Health
8/28/1995
3/31/1997
Inactive
Protective Life Insurance Company
300638
Agent - Life
8/28/1995
3/31/1997
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
4/29/1997
8/24/2000
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
4/29/1997
8/24/2000
Inactive
SeeChange Health Insurance Company
301115
Agent - Health
1/23/1995
3/31/2007
Inactive
SeeChange Health Insurance Company
301115
Agent - Life
1/23/1995
3/31/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
6/13/1995
3/31/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
6/13/1995
3/31/2007
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
6/8/1995
5/18/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
6/8/1995
5/18/2005
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
10/13/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
10/13/1995
3/31/1997
Inactive
Unum Insurance Company
301499
Agent - Life
5/19/1997
3/31/2007
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Brewer, Janet Jo
371146
Agent - Health
4/28/1997
2/17/2003
Inactive
Brewer, Janet Jo
371146
Agent - Life
4/28/1997
2/17/2003
Inactive
Lynch, Jill Marie
367730
Agent - Life
4/18/1997
2/17/2003
Inactive
McKinney, Neel Marc
328515
Agent - Life
4/18/1997
2/17/2003
Inactive
Russo, James Henry
393659
Agent - Health
1/23/1995
2/17/2003
Inactive
Russo, James Henry
393659
Agent - Life
1/23/1995
2/17/2003
Inactive
Smith, Brent Larry
339767
Agent - Health
6/3/2004
3/31/2007
Inactive
Smith, Brent Larry
339767
Agent - Life
6/3/2004
3/31/2007
Inactive
Smith, Marvin
366231
Agent - Health
6/3/2004
3/31/2007
Inactive
Smith, Marvin
366231
Agent - Life
6/3/2004
3/31/2007
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