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DEPARTMENT OF INSURANCE
Affiliations
Name
InsBanc, Inc.
DOIID
520697
NAIC NPN
4573231
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
1/18/2001
3/31/2021
Inactive
Resident
Agent
Life
1/18/2001
3/31/2021
* 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
Allianz Life Insurance Company of North America
301791
Agent - Health
11/13/2002
4/28/2016
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
11/13/2002
4/28/2016
Inactive
American General Life Insurance Company
301585
Agent - Health
6/12/2002
11/9/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
6/12/2002
11/9/2012
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
6/8/2001
12/20/2012
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
6/12/2003
8/13/2009
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
6/12/2003
8/13/2009
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
6/25/2001
9/2/2004
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
1/18/2001
8/15/2005
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
1/18/2001
8/15/2005
Inactive
Life Insurance Company of the Southwest
301867
Agent - Health
8/1/2001
9/12/2005
Inactive
Life Insurance Company of the Southwest
301867
Agent - Life
8/1/2001
9/12/2005
Inactive
National Life Insurance Company
301852
Agent - Health
8/1/2001
9/1/2005
Inactive
National Life Insurance Company
301852
Agent - Life
8/1/2001
9/1/2005
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
6/4/2001
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
6/4/2001
3/31/2003
Inactive
Protective Life Insurance Company
300638
Agent - Life
1/1/2007
12/21/2010
Inactive
Southland Life Insurance Company
301175
Agent - Health
6/10/2002
9/17/2004
Inactive
Southland Life Insurance Company
301175
Agent - Life
6/10/2002
9/17/2004
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
7/1/2002
3/19/2012
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
7/1/2002
3/19/2012
Inactive
Vantis Life Insurance Company
572176
Agent - Health
11/12/2003
3/8/2019
Inactive
Vantis Life Insurance Company
572176
Agent - Life
11/12/2003
6/30/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
4/6/2004
12/20/2006
Inactive
300277
Agent - Life
9/4/2001
1/1/2007
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Anderson, Bradley R
320681
Agent - Health
5/24/2001
3/6/2003
Inactive
Anderson, Bradley R
320681
Agent - Life
5/24/2001
3/6/2003
Inactive
Anderson, Charles Earl
393325
Agent - Health
3/17/2008
3/31/2021
Inactive
Anderson, Charles Earl
393325
Agent - Life
3/17/2008
3/31/2021
Inactive
Anderson, Eric Earl
311358
Agent - Health
1/18/2001
3/7/2008
Inactive
Anderson, Eric Earl
311358
Agent - Life
1/18/2001
3/7/2008
Inactive
Barger, G. Alan
524079
Agent - Health
5/24/2001
7/1/2002
Inactive
Barger, G. Alan
524079
Agent - Life
5/24/2001
7/1/2002
Inactive
Bryant, Jason E
506499
Agent - Health
5/24/2001
9/24/2002
Inactive
Bryant, Jason E
506499
Agent - Life
5/24/2001
9/24/2002
Inactive
Green, Jason A
506500
Agent - Health
5/24/2001
3/6/2003
Inactive
Green, Jason A
506500
Agent - Life
5/24/2001
3/6/2003
Inactive
Hayden, Blakely C
505419
Agent - Health
5/24/2001
8/14/2002
Inactive
Hayden, Blakely C
505419
Agent - Life
5/24/2001
8/14/2002
Inactive
Henderson, Jennifer Carrie
550158
Agent - Health
3/14/2003
9/15/2003
Inactive
Henderson, Jennifer Carrie
550158
Agent - Life
3/14/2003
9/15/2003
Inactive
Howard, Jason
524081
Agent - Health
8/23/2002
4/30/2006
Inactive
Howard, Jason
524081
Agent - Life
8/23/2002
4/30/2006
Inactive
Kinsolving, Leslie A
534051
Agent - Health
12/10/2001
9/24/2002
Inactive
Kinsolving, Leslie A
534051
Agent - Life
12/10/2001
9/24/2002
Inactive
Lashbrook, Joy Beth
534050
Agent - Health
12/26/2001
1/27/2003
Inactive
Lashbrook, Joy Beth
534050
Agent - Life
12/10/2001
1/27/2003
Inactive
McClure, Howard Willis
302506
Agent - Health
5/24/2001
3/6/2003
Inactive
McClure, Howard Willis
302506
Agent - Life
5/24/2001
3/6/2003
Inactive
Meade, Jeff Allen
524533
Agent - Health
5/24/2001
7/1/2002
Inactive
Meade, Jeff Allen
524533
Agent - Life
5/24/2001
7/1/2002
Inactive
Schmeal, Jamie L
534049
Agent - Health
12/26/2001
8/23/2002
Inactive
Schmeal, Jamie L
534049
Agent - Life
12/10/2001
8/23/2002
Inactive
St. John, Eric H
524745
Agent - Health
8/23/2002
3/6/2003
Inactive
St. John, Eric H
524745
Agent - Life
8/23/2002
3/6/2003
Inactive
Thomas, Ronald Dean
374882
Agent - Health
2/12/2004
1/13/2005
Inactive
Thomas, Ronald Dean
374882
Agent - Life
2/12/2004
1/13/2005
Inactive
Turley, Courtney Dawn
563882
Agent - Health
2/12/2004
1/13/2005
Inactive
Turley, Courtney Dawn
563882
Agent - Life
2/12/2004
1/13/2005
Inactive
Wells, Jimmy David
306607
Agent - Health
8/23/2002
2/14/2007
Inactive
Wells, Jimmy David
306607
Agent - Life
8/23/2002
2/14/2007
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