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DEPARTMENT OF INSURANCE
Affiliations
Name
Legacy Financial Services Inc.
DOIID
401089
NAIC NPN
7222910
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Casualty
8/15/2000
5/31/2003
Inactive
Resident
Agent
Life
11/28/1995
5/31/2003
Inactive
Resident
Agent
Property
8/15/2000
5/31/2003
Inactive
Resident
Agent
General Lines
11/15/1995
8/15/2000
Inactive
Resident
Agent
Health
11/28/1995
5/31/2003
* 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
Allianz Life Insurance Company of North America
301791
Agent - Health
8/2/2002
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
8/2/2002
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
8/15/2000
7/1/2002
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - General Lines
6/9/1998
8/15/2000
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
8/15/2000
7/1/2002
Inactive
Foremost Signature Insurance Company
300140
Agent - Casualty
8/15/2000
7/1/2002
Inactive
Foremost Signature Insurance Company
300140
Agent - General Lines
6/9/1998
8/15/2000
Inactive
Foremost Signature Insurance Company
300140
Agent - Property
8/15/2000
7/1/2002
Inactive
Generali - U.S. Branch
301128
Agent - General Lines
11/15/1995
1/29/1996
Inactive
Integrity Life Insurance Company
301687
Agent - Life
6/24/1997
7/1/2002
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
12/28/1995
5/20/1999
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
11/6/2000
7/1/2002
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
8/8/1997
7/1/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Health
4/12/1999
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
4/12/1999
8/2/2002
Inactive
Principal Life Insurance Company
300129
Agent - Health
1/5/1996
7/1/2002
Inactive
Principal Life Insurance Company
300129
Agent - Life
1/5/1996
7/1/2002
Inactive
Progressive Max Insurance Company
301034
Agent - Casualty
2/21/2001
7/1/2002
Inactive
Progressive Max Insurance Company
301034
Agent - Property
2/21/2001
7/1/2002
Inactive
Progressive Northern Insurance Company
301378
Agent - Casualty
2/21/2001
7/1/2002
Inactive
Progressive Northern Insurance Company
301378
Agent - Property
2/21/2001
7/1/2002
Inactive
Progressive Northwestern Insurance Company
300441
Agent - Casualty
2/21/2001
7/1/2002
Inactive
Progressive Northwestern Insurance Company
300441
Agent - Property
2/21/2001
7/1/2002
Inactive
Time Insurance Company
300683
Agent - Health
11/28/1995
7/1/2002
Inactive
Time Insurance Company
300683
Agent - Life
11/28/1995
7/1/2002
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
3/14/2001
7/1/2002
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
3/14/2001
7/1/2002
Inactive
Wilco Life Insurance Company
300122
Agent - Health
8/8/1996
7/1/2002
Inactive
Wilco Life Insurance Company
300122
Agent - Life
8/8/1996
4/23/2001
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Blythe, Lewis M
319848
Agent - Casualty
8/15/2000
7/1/2002
Inactive
Blythe, Lewis M
319848
Agent - General Lines
11/28/1995
8/15/2000
Inactive
Blythe, Lewis M
319848
Agent - Health
11/28/1995
7/1/2002
Inactive
Blythe, Lewis M
319848
Agent - Life
11/28/1995
7/1/2002
Inactive
Blythe, Lewis M
319848
Agent - Property
8/15/2000
7/1/2002
Inactive
Bristoe, Helen F
335718
Agent - Health
12/18/1995
9/18/2000
Inactive
Bristoe, Helen F
335718
Agent - Life
12/18/1995
9/18/2000
Inactive
Ferrell, Kenneth Lynn
502945
Agent - Health
9/18/2000
5/20/2002
Inactive
Ferrell, Kenneth Lynn
502945
Agent - Life
9/18/2000
5/20/2002
Inactive
Morgan, Brandon W
367830
Agent - Health
11/28/1995
9/18/2000
Inactive
Morgan, Brandon W
367830
Agent - Life
11/28/1995
9/18/2000
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