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DEPARTMENT OF INSURANCE
Affiliations
Name
Alliance Insurance Managements Inc.
DOIID
536763
NAIC NPN
7223390
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
10/2/2001
3/31/2005
Inactive
Resident
Agent
Life
9/11/2001
5/31/2005
* 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
CHA HMO, Inc.
300662
Agent - Health
11/9/2001
3/31/2005
Inactive
CICA Life Insurance Company of America
600487
Agent - Health
1/1/2005
3/31/2005
Inactive
CICA Life Insurance Company of America
600487
Agent - Life
1/1/2005
5/31/2005
Inactive
Central States Health and Life Company of Omaha
301874
Agent - Health
2/11/2002
11/24/2003
Inactive
Central States Health and Life Company of Omaha
301874
Agent - Life
2/11/2002
11/24/2003
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
10/24/2001
3/31/2005
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
10/24/2001
5/31/2005
Inactive
Conseco Health Insurance Company
301725
Agent - Health
11/26/2001
3/31/2005
Inactive
Conseco Health Insurance Company
301725
Agent - Life
11/26/2001
5/31/2005
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
12/26/2001
5/31/2005
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
10/24/2001
5/31/2005
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Health
3/4/2003
3/17/2005
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Life
3/4/2003
3/17/2005
Inactive
First Alliance Insurance Company
301000
Agent - Health
10/2/2001
1/1/2005
Inactive
First Alliance Insurance Company
301000
Agent - Life
9/11/2001
1/1/2005
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
2/15/2002
3/31/2005
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
2/15/2002
5/31/2005
Inactive
Midland National Life Insurance Company
300923
Agent - Life
7/29/2002
10/5/2004
Inactive
National Western Life Insurance Company
301515
Agent - Life
10/17/2001
10/6/2003
Inactive
Principal Life Insurance Company
300129
Agent - Health
11/5/2001
3/31/2005
Inactive
Principal Life Insurance Company
300129
Agent - Life
11/5/2001
5/31/2005
Inactive
Protective Life Insurance Company
300638
Agent - Health
3/15/2002
10/1/2003
Inactive
Protective Life Insurance Company
300638
Agent - Life
3/15/2002
10/1/2003
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Health
11/26/2001
7/18/2003
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Life
11/26/2001
7/18/2003
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Breuer, Matthew Paul
364175
Agent - Life
1/21/2004
5/31/2005
Inactive
Owen, David Abraham
357466
Agent - Health
10/2/2001
1/21/2004
Inactive
Owen, David Abraham
357466
Agent - Life
9/11/2001
1/21/2004
Inactive
Vance, Grover Scott
390068
Agent - Health
2/10/2004
3/30/2005
Inactive
Vance, Grover Scott
390068
Agent - Life
2/10/2004
3/30/2005
Inactive
Zahn, Gregg Earl
326935
Agent - Life
9/11/2001
2/10/2004
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