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DEPARTMENT OF INSURANCE
Affiliations
Name
Bastin, Marvin Michael
DOIID
510035
NAIC NPN
7213815
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Property
9/21/2005
11/30/2021
Inactive
Resident
Agent
Health
8/18/2000
11/30/2021
Inactive
Resident
Agent
Life
8/18/2000
11/30/2021
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Accordia Life and Annuity Company
502966
Agent - Life
6/1/2014
4/1/2019
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
1/27/2011
1/3/2017
Inactive
American Investors Life Insurance Company, Inc.
301358
Agent - Life
4/1/2008
8/12/2009
Inactive
Anthem Life Insurance Company
301209
Agent - Health
1/11/2001
11/30/2021
Inactive
Anthem Life Insurance Company
301209
Agent - Life
1/11/2001
11/30/2021
Inactive
Athene Annuity & Life Assurance Company of New York
300724
Agent - Life
4/5/2004
3/23/2012
Inactive
Athene Annuity and Life Company
301893
Agent - Life
9/13/2011
1/6/2016
Inactive
Columbian Life Insurance Company
300810
Agent - Health
7/2/2007
7/1/2013
Inactive
Columbian Life Insurance Company
300810
Agent - Life
12/22/2014
11/30/2021
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
5/4/2010
3/22/2018
Inactive
Forethought Life Insurance Company
301407
Agent - Health
3/26/2014
12/23/2014
Inactive
Golden Rule Insurance Company
301943
Agent - Health
11/9/2005
6/9/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
11/9/2005
6/9/2008
Inactive
Grange Indemnity Insurance Company
300793
Agent - Property
4/18/2016
11/30/2021
Inactive
Grange Insurance Company
300234
Agent - Property
4/18/2016
11/30/2021
Inactive
Grange Life Insurance Company
300128
Agent - Health
4/18/2016
3/31/2021
Inactive
Grange Life Insurance Company
300128
Agent - Life
4/18/2016
12/28/2020
Inactive
Grange Property & Casualty Insurance Company
601680
Agent - Property
4/18/2016
11/30/2021
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
2/5/2013
1/3/2017
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
2/5/2013
1/3/2017
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
1/30/2012
11/30/2021
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
1/30/2012
11/30/2021
Inactive
Independent Mutual Fire Insurance Company
300851
Agent - Property
9/21/2005
11/7/2011
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
7/3/2003
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
7/3/2003
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
7/3/2003
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
7/3/2003
4/2/2007
Inactive
Kansas City Life Insurance Company
301444
Agent - Life
5/1/2019
11/30/2021
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
1/21/2011
10/1/2014
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
1/21/2011
10/1/2014
Inactive
Life Insurance Company of Alabama
301439
Agent - Health
1/16/2012
11/30/2021
Inactive
Life Insurance Company of Alabama
301439
Agent - Life
1/16/2012
11/30/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
8/26/2011
11/30/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
8/26/2011
11/30/2021
Inactive
Midland National Life Insurance Company
300923
Agent - Life
10/6/2013
11/30/2021
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
6/21/2006
12/17/2012
Inactive
National Western Life Insurance Company
301515
Agent - Life
4/16/2010
12/9/2019
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
10/26/2010
9/20/2011
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
10/26/2010
9/20/2011
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
12/22/2004
9/20/2011
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
12/22/2004
9/20/2011
Inactive
Trustgard Insurance Company
300104
Agent - Property
4/18/2016
11/30/2021
Inactive
United World Life Insurance Company
300532
Agent - Health
6/21/2006
12/15/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
12/12/2008
12/17/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
12/12/2008
12/17/2012
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
9/20/2018
1/31/2022
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
9/20/2018
1/31/2022
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
9/20/2018
1/31/2022
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
9/20/2018
1/31/2022
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
1/3/2001
6/20/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
1/3/2001
6/20/2008
Inactive
Designated Agent Company Inc.
681257
Agent - Life
6/24/2008
11/30/2021
Inactive
Designated Agent Company Inc.
681257
Agent - Health
6/24/2008
11/30/2021
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