DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Simerly, Garry Lynn	DOIID	552084	NAIC NPN	4797227

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/24/2002	11/30/2013
Inactive	Non Resident	Agent	Health	7/24/2002	11/30/2013
* 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	Mutual of Omaha Insurance Company	301012	Agent - Health	7/24/2002	11/28/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	5/4/2012	11/28/2012
Inactive	United World Life Insurance Company	300532	Agent - Health	7/8/2004	3/23/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/24/2002	11/28/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/24/2002	11/28/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mutual Of Omaha Marketing Corporation	399970	Agent - Health	9/12/2002	11/28/2012
Inactive	Mutual Of Omaha Marketing Corporation	399970	Agent - Life	9/12/2002	11/28/2012