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DEPARTMENT OF INSURANCE
Affiliations
Name
L T C I Partners L L C
DOIID
540090
NAIC NPN
5334423
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
1/25/2002
3/31/2026
Active
Non Resident
Agent
Life
10/10/2006
3/31/2026
* 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
Active
ACE American Insurance Company
300625
Agent - Health
7/31/2024
Active
ACE Property and Casualty Insurance Company
300520
Agent - Health
1/14/2020
Active
Accendo Insurance Company
300312
Agent - Life
6/10/2020
Inactive
Aetna Health Inc.
300694
Agent - Health
3/7/2005
12/31/2007
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
6/4/2012
Active
Aetna Health and Life Insurance Company
300523
Agent - Health
1/15/2020
Inactive
Aetna Life Insurance Company
301140
Agent - Health
3/7/2005
6/4/2012
Inactive
American Continental Insurance Company
643130
Agent - Life
1/15/2020
8/11/2021
Inactive
American General Life Insurance Company
301585
Agent - Health
3/28/2010
11/9/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
3/28/2010
11/9/2012
Inactive
C.M. Life Insurance Company
301335
Agent - Health
5/15/2006
11/16/2012
Active
Combined Insurance Company of America
301472
Agent - Health
2/10/2017
Active
Combined Insurance Company of America
301472
Agent - Life
2/10/2017
Inactive
Continental Casualty Company
301019
Agent - Health
2/26/2002
12/28/2004
Active
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
1/15/2020
Inactive
Federal Life Insurance Company
300945
Agent - Health
8/1/2023
7/18/2024
Inactive
Federal Life Insurance Company
300945
Agent - Life
8/1/2023
7/18/2024
Inactive
Genworth Life Insurance Company
300623
Agent - Health
4/24/2003
12/11/2018
Inactive
Genworth Life Insurance Company
300623
Agent - Life
5/22/2008
12/11/2018
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
12/1/2002
12/30/2009
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/19/2008
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
8/3/2010
Inactive
LifeSecure Insurance Company
301629
Agent - Health
3/22/2012
2/5/2015
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
11/19/2009
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
11/19/2009
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
5/15/2006
11/16/2012
Inactive
MedAmerica Insurance Company
301568
Agent - Health
2/9/2004
3/2/2016
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
7/23/2010
5/26/2011
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
7/23/2010
5/26/2011
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
9/4/2007
1/27/2014
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
12/31/2018
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
12/31/2018
Inactive
New York Life Insurance Company
300431
Agent - Health
12/17/2020
12/15/2023
Inactive
New York Life Insurance Company
300431
Agent - Life
12/17/2020
12/15/2023
Active
Pacific Life Insurance Company
301848
Agent - Health
12/14/2014
Active
Pacific Life Insurance Company
301848
Agent - Life
12/14/2014
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
4/5/2004
3/31/2009
Inactive
Pruco Life Insurance Company
300954
Agent - Health
4/8/2002
12/22/2008
Active
Prudential Insurance Company of America
300784
Agent - Health
4/8/2002
Active
State Life Insurance Company
301497
Agent - Health
2/24/2016
Active
State Life Insurance Company
301497
Agent - Life
2/24/2016
Active
Transamerica Life Insurance Company
300571
Agent - Health
11/18/2010
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
1/25/2002
2/14/2008
Active
Trustmark Insurance Company
300317
Agent - Health
8/6/2021
Active
Trustmark Insurance Company
300317
Agent - Life
8/6/2021
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
2/27/2002
11/10/2004
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Appleby, Charles R
632522
Agent - Health
2/6/2013
7/29/2014
Inactive
Appleby, Charles R
632522
Agent - Life
2/6/2013
7/29/2014
Denied
Boncher, Mary A
802279
Agent - Health
Denied
Boncher, Mary A
802279
Agent - Life
Inactive
Canning, Elizabeth Jean
803986
Agent - Health
11/15/2013
Inactive
Canning, Elizabeth Jean
803986
Agent - Life
11/15/2013
Inactive
Coeuille, John L
687297
Agent - Health
3/22/2013
2/27/2014
Inactive
Coeuille, John L
687297
Agent - Life
2/27/2014
Denied
Domino, Michelle M
802218
Agent - Health
Denied
Domino, Michelle M
802218
Agent - Life
Inactive
Doyle, Margaret Leah
571458
Agent - Health
2/6/2013
6/10/2015
Inactive
Doyle, Margaret Leah
571458
Agent - Life
2/6/2013
9/25/2013
Inactive
Dykeman, Nancy Ann
587283
Agent - Health
4/1/2015
10/31/2017
Denied
Dykeman, Nancy Ann
587283
Agent - Life
Inactive
Gould, David Alan
351966
Agent - Health
3/18/2014
6/14/2016
Inactive
Gould, David Alan
351966
Agent - Life
3/18/2014
6/14/2016
Denied
Graw, Ashley K
878456
Agent - Health
Denied
Graw, Ashley K
878456
Agent - Life
Denied
Grimes, Peter
819615
Agent - Health
Denied
Grimes, Peter
819615
Agent - Life
Inactive
Haunroth, James
819613
Agent - Health
9/24/2013
1/21/2017
Denied
Haunroth, James
819613
Agent - Life
Denied
Haunroth, Nicole Lynn
802275
Agent - Health
Denied
Haunroth, Nicole Lynn
802275
Agent - Life
Denied
Holzrichter, Heather
833122
Agent - Health
Denied
Holzrichter, Heather
833122
Agent - Life
Denied
Jiles - Johnson, Lauren
868839
Agent - Health
Denied
Jiles - Johnson, Lauren
868839
Agent - Life
Withdrawn
Lane, Joseph
802268
Agent - Health
Withdrawn
Lane, Joseph
802268
Agent - Life
Inactive
Larkin, Ruth Irene
813097
Agent - Health
7/19/2013
Inactive
Larkin, Ruth Irene
813097
Agent - Life
7/19/2013
Inactive
Lasley Payne, Janice Elizabeth
804792
Agent - Health
11/8/2013
6/10/2015
Inactive
Lasley Payne, Janice Elizabeth
804792
Agent - Life
11/8/2013
6/10/2015
Active
Leach-Potter, Rhonda Elaine
562615
Agent - Health
9/12/2013
Active
Leach-Potter, Rhonda Elaine
562615
Agent - Life
9/12/2013
Inactive
Lilien, David Richard
802265
Agent - Health
4/11/2013
3/31/2018
Inactive
Lilien, David Richard
802265
Agent - Life
4/11/2013
11/19/2016
Inactive
Long, Thomas Leonard
383883
Agent - Health
1/25/2002
8/31/2016
Inactive
Long, Thomas Leonard
383883
Agent - Life
10/10/2006
8/31/2016
Active
Riekse, Thomas H
1036902
Agent - Health
6/27/2019
Active
Riekse, Thomas H
1036902
Agent - Life
6/27/2019
Denied
Robbins, Katherine
802266
Agent - Health
Denied
Robbins, Katherine
802266
Agent - Life
Denied
Weiner, Michael J
601981
Agent - Health
Denied
Weiner, Michael J
601981
Agent - Life
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