DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Eric Scott	DOIID	561552	NAIC NPN	1780937

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/21/2003		8/31/2027
Active	Non Resident	Agent	Life	1/21/2003		8/31/2027
* 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	Gerber Life Insurance Company	300529	Agent - Health	1/22/2003	12/21/2004
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/22/2003	12/21/2004
Active	HCC Life Insurance Company	301827	Agent - Health	1/10/2017
Active	HCC Life Insurance Company	301827	Agent - Life	1/10/2017
Active	Nationwide Life Insurance Company	300495	Agent - Health	11/3/2017
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	8/14/2015	12/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	8/14/2015	12/26/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Health	8/15/2016
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/15/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Benefit Assistance Company, LLC	397712	Agent - Health	7/8/2016