DEPARTMENT OF INSURANCE
Affiliations
NameProfessional Retirement Planning Inc.DOIID400960NAIC NPN7222794
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife5/31/20013/31/2010 
InactiveResidentAgentHealth3/2/19883/31/2010 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health8/3/19988/13/2003
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/3/19988/13/2003
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life5/31/20013/22/2007
InactiveAmerican States Life Insurance Company301884Agent - Health12/30/199811/26/2001
InactiveAmerican States Life Insurance Company301884Agent - Life12/30/199811/26/2001
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life5/31/20011/20/2009
InactiveColumbus Life Insurance Company301227Agent - Health3/29/200511/20/2008
InactiveColumbus Life Insurance Company301227Agent - Life3/29/200511/20/2008
InactiveConseco Insurance Company301202Agent - Health2/8/19933/31/1997
InactiveConseco Insurance Company301202Agent - Life2/8/19933/31/1997
InactiveContinental Casualty Company301019Agent - Health3/26/200111/29/2004
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/31/20013/10/2009
InactiveGreat Southern Life Insurance Company301443Agent - Health7/17/199610/18/1999
InactiveGreat Southern Life Insurance Company301443Agent - Life7/17/199610/18/1999
InactiveIllinois Mutual Life Insurance Company301479Agent - Health9/4/19963/31/2010
InactiveIllinois Mutual Life Insurance Company301479Agent - Life5/31/20013/31/2010
InactiveJackson National Life Insurance Company300486Agent - Life6/19/19901/3/2003
InactiveJefferson National Life Insurance Company300258Agent - Health3/2/19886/8/2006
InactiveJefferson National Life Insurance Company300258Agent - Life5/31/20016/8/2006
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health1/7/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life5/31/20017/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health12/21/19991/1/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life12/21/19991/1/2004
InactiveLiberty Bankers Life Insurance Company542461Agent - Life1/18/200710/21/2009
InactiveLife Insurance Company of the Southwest301867Agent - Health12/23/20024/27/2007
InactiveLife Insurance Company of the Southwest301867Agent - Life12/23/20024/27/2007
InactiveLifeUSA Insurance Company300386Agent - Health8/6/19988/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life8/6/19988/2/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/2/20073/25/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/2/20073/25/2009
InactiveMedAmerica Insurance Company301568Agent - Health6/20/20063/31/2010
InactiveMidland National Life Insurance Company300923Agent - Life8/1/200610/21/2008
InactiveReassure America Life Insurance Company301902Agent - Health5/14/20029/20/2004
InactiveReassure America Life Insurance Company301902Agent - Life5/14/20029/20/2004
InactiveReliaStar Life Insurance Company301712Agent - Health7/15/20083/31/2010
InactiveReliaStar Life Insurance Company301712Agent - Life7/15/20083/31/2010
DeniedStandard Life and Accident Insurance Company301534Agent - Health  
DeniedStandard Life and Accident Insurance Company301534Agent - Life  
InactiveSymetra Life Insurance Company301691Agent - Health6/16/19983/31/2010
InactiveSymetra Life Insurance Company301691Agent - Life5/31/20013/31/2010
InactiveUSG Annuity & Life Company300457Agent - Health9/25/19928/7/2003
InactiveUSG Annuity & Life Company300457Agent - Life9/25/19928/7/2003
InactiveWestern National Life Insurance Company300461Agent - Life3/2/19936/30/2000
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAbbott, William Buell 361644Agent - Health5/22/19923/22/2005
InactiveAbbott, William Buell 361644Agent - Life5/22/19923/22/2005
InactiveBernard, Michael Alan 391296Agent - Health12/12/19912/14/2003
InactiveBernard, Michael Alan 391296Agent - Life12/12/19912/14/2003
InactiveBlevins, Charles Edward 313458Agent - Health9/26/19953/22/2005
InactiveBlevins, Charles Edward 313458Agent - Life9/26/19953/22/2005
InactiveCarter, Charles Ottielee 381605Agent - Health2/12/19922/22/1998
InactiveCarter, Charles Ottielee 381605Agent - Life2/12/19922/22/1998
InactiveChavers, Peggy Joyce 337933Agent - Health3/5/19827/1/1998
InactiveChavers, Peggy Joyce 337933Agent - Life3/5/19827/1/1998
InactiveDaugherty, Helen Irene 312731Agent - Health10/3/19912/14/2003
InactiveDaugherty, Helen Irene 312731Agent - Life10/3/19912/14/2003
InactiveFeltner, James R 353908Agent - Health11/30/199411/18/1999
InactiveFeltner, James R 353908Agent - Life11/30/199411/18/1999
InactiveFurlong, Timothy A 361241Agent - Health1/18/19967/1/2002
InactiveFurlong, Timothy A 361241Agent - Life1/18/19967/1/2002
InactiveGoldberg, David Ross 323062Agent - Health7/27/19902/14/2003
InactiveGoldberg, David Ross 323062Agent - Life7/27/19902/14/2003
InactiveKemp, Joyce Merryman 336600Agent - Health7/27/19907/1/2009
InactiveKemp, Joyce Merryman 336600Agent - Life7/27/19907/1/2009
InactiveLindsay, Bruce W 373072Agent - Health11/21/19912/14/2003
InactiveLindsay, Bruce W 373072Agent - Life11/21/19912/14/2003
InactiveMcCoy, James Gregory 309146Agent - Health7/27/19902/14/2003
InactiveMcCoy, James Gregory 309146Agent - Life7/27/19902/14/2003
InactiveMeade, Charles Wendell 310865Agent - Health7/27/19903/31/2010
InactiveMeade, Charles Wendell 310865Agent - Life7/27/19903/31/2010
InactiveMethner, Barry L 358592Agent - Health1/5/20043/22/2005
InactiveMethner, Barry L 358592Agent - Life1/5/20043/22/2005
InactiveMyles, William M 335547Agent - Health10/3/19912/14/2003
InactiveMyles, William M 335547Agent - Life10/3/19912/14/2003
InactiveNewton, John Joseph 334368Agent - Health7/27/19907/1/2002
InactiveNewton, John Joseph 334368Agent - Life7/27/19907/1/2002
InactiveNorman, Valiant Charles 338019Agent - Health10/3/199112/1/2000
InactiveNorman, Valiant Charles 338019Agent - Life10/3/199112/1/2000
InactiveOswald, Michael 663281Agent - Health10/15/200710/20/2008
InactiveOswald, Michael 663281Agent - Life10/15/200710/20/2008
InactivePhillips, Donald Arthur 319664Agent - Health12/10/19747/31/2008
InactivePhillips, Donald Arthur 319664Agent - Life12/10/19747/31/2008
InactiveStacy, Robert Joe 378857Agent - Health9/6/19946/12/1998
InactiveStacy, Robert Joe 378857Agent - Life9/6/19946/12/1998
InactiveStarks, Cornell Benjamin 347238Agent - Health12/12/19917/1/2002
InactiveStarks, Cornell Benjamin 347238Agent - Life12/12/19917/1/2002
InactiveStephens, Samuel L 330765Agent - Health2/12/19927/1/2002
InactiveStephens, Samuel L 330765Agent - Life2/12/19927/1/2002

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