DEPARTMENT OF INSURANCE
Affiliations
NameBastin, Marvin MichaelDOIID510035NAIC NPN7213815
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentProperty9/21/200511/30/2021 
InactiveResidentAgentHealth8/18/200011/30/2021 
InactiveResidentAgentLife8/18/200011/30/2021 
* 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
InactiveAccordia Life and Annuity Company502966Agent - Life6/1/20144/1/2019
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life1/27/20111/3/2017
InactiveAmerican Investors Life Insurance Company, Inc.301358Agent - Life4/1/20088/12/2009
InactiveAnthem Life Insurance Company301209Agent - Health1/11/200111/30/2021
InactiveAnthem Life Insurance Company301209Agent - Life1/11/200111/30/2021
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life4/5/20043/23/2012
InactiveAthene Annuity and Life Company301893Agent - Life9/13/20111/6/2016
InactiveColumbian Life Insurance Company300810Agent - Health7/2/20077/1/2013
InactiveColumbian Life Insurance Company300810Agent - Life12/22/201411/30/2021
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life5/4/20103/22/2018
InactiveForethought Life Insurance Company301407Agent - Health3/26/201412/23/2014
InactiveGolden Rule Insurance Company301943Agent - Health11/9/20056/9/2008
InactiveGolden Rule Insurance Company301943Agent - Life11/9/20056/9/2008
InactiveGrange Indemnity Insurance Company300793Agent - Property4/18/201611/30/2021
InactiveGrange Insurance Company300234Agent - Property4/18/201611/30/2021
InactiveGrange Life Insurance Company300128Agent - Health4/18/20163/31/2021
InactiveGrange Life Insurance Company300128Agent - Life4/18/201612/28/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Property4/18/201611/30/2021
InactiveGuarantee Trust Life Insurance Company301043Agent - Health2/5/20131/3/2017
InactiveGuarantee Trust Life Insurance Company301043Agent - Life2/5/20131/3/2017
InactiveIllinois Mutual Life Insurance Company301479Agent - Health1/30/201211/30/2021
InactiveIllinois Mutual Life Insurance Company301479Agent - Life1/30/201211/30/2021
InactiveIndependent Mutual Fire Insurance Company300851Agent - Property9/21/200511/7/2011
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health7/3/20037/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life7/3/20037/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health7/3/20034/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life7/3/20034/2/2007
InactiveKansas City Life Insurance Company301444Agent - Life5/1/201911/30/2021
InactiveLafayette Life Insurance Company (The)301039Agent - Health1/21/201110/1/2014
InactiveLafayette Life Insurance Company (The)301039Agent - Life1/21/201110/1/2014
InactiveLife Insurance Company of Alabama301439Agent - Health1/16/201211/30/2021
InactiveLife Insurance Company of Alabama301439Agent - Life1/16/201211/30/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Health8/26/201111/30/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Life8/26/201111/30/2021
InactiveMidland National Life Insurance Company300923Agent - Life10/6/201311/30/2021
InactiveMutual of Omaha Insurance Company301012Agent - Health6/21/200612/17/2012
InactiveNational Western Life Insurance Company301515Agent - Life4/16/201012/9/2019
InactiveTransamerica Life Insurance Company300571Agent - Health10/26/20109/20/2011
InactiveTransamerica Life Insurance Company300571Agent - Life10/26/20109/20/2011
InactiveTransamerica Premier Life Insurance Company300558Agent - Health12/22/20049/20/2011
InactiveTransamerica Premier Life Insurance Company300558Agent - Life12/22/20049/20/2011
InactiveTrustgard Insurance Company300104Agent - Property4/18/201611/30/2021
InactiveUnited World Life Insurance Company300532Agent - Health6/21/200612/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health12/12/200812/17/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life12/12/200812/17/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/20/20181/31/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Life9/20/20181/31/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/20/20181/31/2022
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health9/20/20181/31/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life1/3/20016/20/2008
InactiveArison Insurance Services, Inc.401001Agent - Health1/3/20016/20/2008
InactiveDesignated Agent Company Inc.681257Agent - Life6/24/200811/30/2021
InactiveDesignated Agent Company Inc.681257Agent - Health6/24/200811/30/2021

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