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DEPARTMENT OF INSURANCE
Affiliations
Name
Blackhorse Financial Group
DOIID
400203
NAIC NPN
7222254
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Health
10/7/2021
3/31/2027
Active
Resident
Agent
Life
10/7/2021
3/31/2027
* 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
American General Life Insurance Company
301585
Agent - Health
2/20/2011
12/20/2013
Inactive
American General Life Insurance Company
301585
Agent - Life
2/20/2011
12/20/2013
Inactive
American-Amicable Life Insurance Co. of Texas
300257
Agent - Life
8/5/2022
5/24/2024
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Health
3/1/2011
12/7/2017
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
2/19/2011
12/7/2017
Active
Aspida Life Insurance Company
301934
Agent - Life
8/30/2022
Inactive
Assurity Life Insurance Company
301099
Agent - Health
6/18/2004
4/7/2005
Inactive
Assurity Life Insurance Company
301099
Agent - Life
6/18/2004
4/7/2005
Inactive
Athene Annuity and Life Company
301893
Agent - Life
7/11/2001
5/18/2005
Inactive
Banner Life Insurance Company
301696
Agent - Life
7/16/2009
3/31/2021
Inactive
Conseco Health Insurance Company
301725
Agent - Health
12/12/2002
12/10/2003
Inactive
Conseco Health Insurance Company
301725
Agent - Life
12/12/2002
12/10/2003
Active
EquiTrust Life Insurance Company
502870
Agent - Life
10/23/2024
Inactive
First Colony Life Insurance Company
301179
Agent - Life
10/7/2005
1/1/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Health
8/17/2009
10/4/2012
Inactive
Genworth Life Insurance Company
300623
Agent - Life
8/17/2009
10/4/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
8/17/2009
10/4/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
8/17/2009
10/4/2012
Inactive
Life Investors Insurance Company of America
301793
Agent - Health
11/5/2002
2/1/2007
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
11/5/2002
2/1/2007
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
6/8/2000
1/14/2004
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
6/8/2000
1/14/2004
Inactive
Loyal American Life Insurance Company
301172
Agent - Health
5/1/2003
9/13/2007
Inactive
Loyal American Life Insurance Company
301172
Agent - Life
5/1/2003
9/13/2007
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
4/26/2001
12/31/2002
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
1/15/2019
11/21/2020
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
10/19/2020
3/31/2021
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
10/19/2020
3/31/2021
Inactive
Ohio State Life Insurance Company (The)
300865
Agent - Health
8/30/1999
6/25/2002
Inactive
Ohio State Life Insurance Company (The)
300865
Agent - Life
8/30/1999
6/25/2002
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
12/3/2001
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
12/3/2001
3/31/2003
Active
Pacific Life Insurance Company
301848
Agent - Health
11/17/2021
Active
Pacific Life Insurance Company
301848
Agent - Life
11/17/2021
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
3/25/2002
10/24/2003
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
3/25/2002
10/24/2003
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Health
12/12/2002
11/19/2003
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Life
12/12/2002
11/19/2003
Inactive
The Savings Bank Mutual Life Insurance Company of Massachusetts
690290
Agent - Life
5/13/2020
12/18/2020
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
3/25/2002
10/24/2003
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
3/25/2002
10/24/2003
Inactive
United Teacher Associates Insurance Company
300747
Agent - Health
12/15/2002
10/4/2007
Inactive
United Teacher Associates Insurance Company
300747
Agent - Life
12/15/2002
10/4/2007
Inactive
West Coast Life Insurance Company
301607
Agent - Health
2/3/2003
9/9/2008
Inactive
West Coast Life Insurance Company
301607
Agent - Life
2/3/2003
9/9/2008
Inactive
Western National Life Insurance Company
300461
Agent - Life
11/17/2004
11/30/2007
Inactive
300277
Agent - Life
4/5/2001
12/10/2004
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Clark, Lawrence Scott
320420
Agent - Health
7/27/2023
Active
Clark, Lawrence Scott
320420
Agent - Life
7/27/2023
Active
Clark, Nathan Aaron
574394
Agent - Health
1/29/2024
Active
Clark, Nathan Aaron
574394
Agent - Life
1/29/2024
Inactive
Spurrier, Drew D
328199
Agent - Health
8/30/1999
7/1/2002
Inactive
Spurrier, Drew D
328199
Agent - Life
8/30/1999
7/1/2002
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