DEPARTMENT OF INSURANCE
Affiliations
NameBlackhorse Financial GroupDOIID400203NAIC NPN7222254
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth10/7/2021 3/31/2025
ActiveResidentAgentLife10/7/2021 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health2/20/201112/20/2013
InactiveAmerican General Life Insurance Company301585Agent - Life2/20/201112/20/2013
InactiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life8/5/20225/24/2024
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health3/1/201112/7/2017
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life2/19/201112/7/2017
ActiveAspida Life Insurance Company301934Agent - Life8/30/2022 
InactiveAssurity Life Insurance Company301099Agent - Health6/18/20044/7/2005
InactiveAssurity Life Insurance Company301099Agent - Life6/18/20044/7/2005
InactiveAthene Annuity and Life Company301893Agent - Life7/11/20015/18/2005
InactiveBanner Life Insurance Company301696Agent - Life7/16/20093/31/2021
InactiveConseco Health Insurance Company301725Agent - Health12/12/200212/10/2003
InactiveConseco Health Insurance Company301725Agent - Life12/12/200212/10/2003
InactiveFirst Colony Life Insurance Company301179Agent - Life10/7/20051/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health8/17/200910/4/2012
InactiveGenworth Life Insurance Company300623Agent - Life8/17/200910/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health8/17/200910/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life8/17/200910/4/2012
InactiveLife Investors Insurance Company of America301793Agent - Health11/5/20022/1/2007
InactiveLife Investors Insurance Company of America301793Agent - Life11/5/20022/1/2007
InactiveLincoln Benefit Life Company301110Agent - Health6/8/20001/14/2004
InactiveLincoln Benefit Life Company301110Agent - Life6/8/20001/14/2004
InactiveLoyal American Life Insurance Company301172Agent - Health5/1/20039/13/2007
InactiveLoyal American Life Insurance Company301172Agent - Life5/1/20039/13/2007
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health4/26/200112/31/2002
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life1/15/201911/21/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health10/19/20203/31/2021
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life10/19/20203/31/2021
InactiveOhio State Life Insurance Company (The)300865Agent - Health8/30/19996/25/2002
InactiveOhio State Life Insurance Company (The)300865Agent - Life8/30/19996/25/2002
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health12/3/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life12/3/20013/31/2003
ActivePacific Life Insurance Company301848Agent - Health11/17/2021 
ActivePacific Life Insurance Company301848Agent - Life11/17/2021 
InactiveProvident Life and Accident Insurance Company301525Agent - Health3/25/200210/24/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life3/25/200210/24/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health12/12/200211/19/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life12/12/200211/19/2003
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life5/13/202012/18/2020
InactiveUNUM Life Insurance Company of America300817Agent - Health3/25/200210/24/2003
InactiveUNUM Life Insurance Company of America300817Agent - Life3/25/200210/24/2003
InactiveUnited Teacher Associates Insurance Company300747Agent - Health12/15/200210/4/2007
InactiveUnited Teacher Associates Insurance Company300747Agent - Life12/15/200210/4/2007
InactiveWest Coast Life Insurance Company301607Agent - Health2/3/20039/9/2008
InactiveWest Coast Life Insurance Company301607Agent - Life2/3/20039/9/2008
InactiveWestern National Life Insurance Company300461Agent - Life11/17/200411/30/2007
Inactive300277Agent - Life4/5/200112/10/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveClark, Lawrence Scott 320420Agent - Health7/27/2023 
ActiveClark, Lawrence Scott 320420Agent - Life7/27/2023 
ActiveClark, Nathan Aaron 574394Agent - Health1/29/2024 
ActiveClark, Nathan Aaron 574394Agent - Life1/29/2024 
InactiveSpurrier, Drew D 328199Agent - Health8/30/19997/1/2002
InactiveSpurrier, Drew D 328199Agent - Life8/30/19997/1/2002

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