DEPARTMENT OF INSURANCE

Affiliations

Name	Nsm Sales Corporation	DOIID	399627	NAIC NPN	953462

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/18/2018	3/31/2026
Active	Non Resident	Agent	Life	6/18/2018	3/31/2026
* 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
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	9/23/2018
Denied	Anthem Life Insurance Company	301209	Agent - Health
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/28/1997	5/31/2004
Inactive	Canada Life Assurance Company	301192	Agent - Health	8/15/1996	11/26/2002
Inactive	Canada Life Assurance Company	301192	Agent - Life	8/15/1996	11/26/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/8/1997	4/27/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/8/1997	4/27/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Health	6/14/2006	3/31/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	6/14/2006	3/31/2008
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/19/1997	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/19/1997	3/12/2002
Active	National Guardian Life Insurance Company	300596	Agent - Health	9/30/2020
Active	Nationwide Life Insurance Company	300495	Agent - Health	8/12/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	8/12/2021
Active	Nippon Life Insurance Company of America	300446	Agent - Health	9/1/2018
Active	Nippon Life Insurance Company of America	300446	Agent - Life	9/1/2018
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	4/28/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	4/28/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/5/1996	12/28/1998
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	9/8/1997	3/31/2003
Inactive	Time Insurance Company	300683	Agent - Health	3/10/2000	5/31/2004
Inactive	Time Insurance Company	300683	Agent - Life	3/10/2000	5/31/2004
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	12/12/1997	6/6/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	12/12/1997	6/6/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cogen, Mark Z	388785	Agent - Health	10/20/1997	1/16/2002
Inactive	Cogen, Mark Z	388785	Agent - Life	10/20/1997	3/31/2003
Inactive	Fratianne, Dale John	603977	Agent - Health	5/9/2006	3/31/2008
Inactive	Fratianne, Dale John	603977	Agent - Life	5/9/2006	3/31/2008
Active	Goddard, Aaron Michael Charl	721235	Agent - Health	6/18/2018
Active	Goddard, Aaron Michael Charl	721235	Agent - Life	6/18/2018
Inactive	Kadlec, Gary Francis	389930	Agent - Health	4/29/1996	10/20/1997
Inactive	Kadlec, Gary Francis	389930	Agent - Life	4/29/1996	10/20/1997
Inactive	Keller, David Wayne	519568	Agent - Health	4/3/2001	5/31/2004
Inactive	Keller, David Wayne	519568	Agent - Life	4/3/2001	5/31/2004
Inactive	Reddy, Michael Sheridan	322307	Agent - Health	1/26/2000	12/21/2000
Inactive	Reddy, Michael Sheridan	322307	Agent - Life	1/26/2000	12/21/2000