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DEPARTMENT OF INSURANCE
Affiliations
Name
Expanded Member Services, Inc
DOIID
502129
NAIC NPN
6621176
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Casualty
2/21/2003
7/22/2005
Inactive
Resident
Agent
Health Maintenance Organization
3/24/2000
3/1/2001
Inactive
Resident
Agent
General Lines
3/10/2000
8/15/2000
Inactive
Resident
Agent
Property
2/21/2003
7/22/2005
Inactive
Resident
Agent
Life
3/16/2009
9/1/2010
Inactive
Resident
Agent
Health
3/16/2009
9/1/2010
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
6/28/2002
9/1/2008
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
6/28/2002
9/1/2008
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
6/25/2002
8/1/2006
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
6/25/2002
8/1/2006
Inactive
American National Property and Casualty Company
300392
Agent - Casualty
4/21/2003
7/22/2005
Inactive
American National Property and Casualty Company
300392
Agent - Property
4/21/2003
7/22/2005
Inactive
Augustar Life Assurance Corporation
301113
Agent - Life
2/16/2001
9/1/2008
Inactive
Augustar Life Insurance Company
301816
Agent - Life
2/16/2001
9/1/2008
Inactive
Banner Life Insurance Company
301696
Agent - Life
12/1/2005
8/9/2008
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
6/27/2001
9/1/2008
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
6/27/2001
9/1/2008
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
8/15/2000
4/25/2002
Inactive
Consolidated Insurance Company
300943
Agent - General Lines
3/10/2000
8/15/2000
Inactive
Consolidated Insurance Company
300943
Agent - Property
8/15/2000
4/25/2002
Inactive
First Colony Life Insurance Company
301179
Agent - Life
10/13/2005
1/1/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
9/1/2008
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
6/26/2000
9/1/2008
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
6/26/2000
9/1/2008
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
9/1/2008
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
3/24/2000
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
3/24/2000
9/1/2008
Inactive
Humana Insurance Company
301104
Agent - Life
3/24/2000
9/1/2008
Inactive
Indiana Insurance Company
301909
Agent - Casualty
8/15/2000
4/25/2002
Inactive
Indiana Insurance Company
301909
Agent - General Lines
3/10/2000
8/15/2000
Inactive
Indiana Insurance Company
301909
Agent - Property
8/15/2000
4/25/2002
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
2/17/2000
10/4/2004
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
2/17/2000
10/4/2004
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
12/31/1999
10/4/2004
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
12/31/1999
10/4/2004
Inactive
MedAmerica Insurance Company
301568
Agent - Health
9/1/2004
6/9/2005
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
8/15/2000
4/25/2002
Inactive
Netherlands Insurance Company (The)
300339
Agent - General Lines
3/10/2000
8/15/2000
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
8/15/2000
4/25/2002
Inactive
Pacific Life Insurance Company
301848
Agent - Life
9/21/2004
3/1/2005
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
7/24/2000
12/13/2002
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
7/24/2000
12/13/2002
Inactive
Peerless Insurance Company
301910
Agent - General Lines
3/10/2000
8/15/2000
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
7/24/2000
10/24/2003
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
7/24/2000
10/24/2003
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
4/10/2003
11/14/2007
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
4/10/2003
11/14/2007
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Harrell, Johnnie E
612553
Agent - Health
3/16/2009
6/30/2010
Inactive
Harrell, Johnnie E
612553
Agent - Life
3/16/2009
6/30/2010
Inactive
Jamison, John Anthony
354924
Agent - Casualty
2/21/2003
7/20/2005
Inactive
Jamison, John Anthony
354924
Agent - General Lines
3/10/2000
8/15/2000
Inactive
Jamison, John Anthony
354924
Agent - Health
12/31/1999
7/20/2005
Inactive
Jamison, John Anthony
354924
Agent - Health Maintenance Organization
3/24/2000
3/1/2001
Inactive
Jamison, John Anthony
354924
Agent - Life
12/31/1999
7/20/2005
Inactive
Jamison, John Anthony
354924
Agent - Property
2/21/2003
7/20/2005
Denied
Routt, William Michael
384236
Agent - Health
Denied
Routt, William Michael
384236
Agent - Life
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