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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
Life
10/10/2006
3/31/2026
Active
Non Resident
Agent
Health
1/25/2002
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 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
Active
Federal Life Insurance Company
300945
Agent - Health
8/1/2023
Active
Federal Life Insurance Company
300945
Agent - Life
8/1/2023
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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