DEPARTMENT OF INSURANCE
Affiliations
NameAlliance America CorporationDOIID564584NAIC NPN7535070
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/17/2003 3/31/2025
ActiveNon ResidentAgentHealth3/31/2003 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAF&L Insurance Company301582Agent - Health2/4/200411/1/2006
InactiveAetna Health Inc. (PA)660717Agent - Health1/11/20105/15/2013
InactiveAetna Life Insurance Company301140Agent - Health1/11/20105/15/2013
InactiveAetna Life Insurance Company301140Agent - Life1/11/20105/15/2013
ActiveAmerican General Life Insurance Company301585Agent - Health6/26/2014 
ActiveAmerican General Life Insurance Company301585Agent - Life6/26/2014 
InactiveAmerican National Insurance Company301861Agent - Health4/21/20105/25/2021
ActiveAmerican National Insurance Company301861Agent - Life4/21/2010 
InactiveAmerican Pioneer Life Insurance Company301782Agent - Health4/9/20098/25/2011
InactiveAmerican Pioneer Life Insurance Company301782Agent - Life4/9/20098/25/2011
InactiveAnnuity Investors Life Insurance Company300715Agent - Life7/8/20089/28/2011
InactiveAthene Annuity and Life Company301893Agent - Life10/1/20086/15/2010
ActiveClear Spring Life and Annuity Company300919Agent - Life6/18/2021 
InactiveEverly Life Insurance Company561641Agent - Life6/11/20094/9/2014
ActiveForethought Life Insurance Company301407Agent - Health11/1/2016 
ActiveForethought Life Insurance Company301407Agent - Life11/1/2016 
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health4/29/201012/26/2012
ActiveGuaranty Income Life Insurance Company552451Agent - Health2/1/2010 
ActiveGuaranty Income Life Insurance Company552451Agent - Life2/1/2010 
InactiveIndianapolis Life Insurance Company301381Agent - Life12/16/200410/1/2008
InactiveJackson National Life Insurance Company300486Agent - Life11/10/20211/4/2023
InactiveJohn Hancock Life Insurance Company300821Agent - Health5/30/200312/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life5/30/200312/30/2009
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/2008 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/2008 
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life5/30/20032/23/2009
InactiveLife Insurance Company of the Southwest301867Agent - Life3/5/20046/30/2006
ActiveLincoln National Life Insurance Company (The)301382Agent - Health4/21/2010 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/21/2010 
InactiveLoyal American Life Insurance Company301172Agent - Health4/4/200512/31/2012
InactiveLoyal American Life Insurance Company301172Agent - Life4/4/200512/31/2012
InactiveMarquette National Life Insurance Company300117Agent - Health4/9/20098/25/2011
InactiveMarquette National Life Insurance Company300117Agent - Life4/9/20098/25/2011
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health4/1/20033/1/2016
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life4/1/20039/20/2017
InactiveMedAmerica Insurance Company301568Agent - Health3/15/200410/31/2004
InactiveMutual of Omaha Insurance Company301012Agent - Health12/31/200912/26/2012
InactiveNassau Life Insurance Company of Kansas300667Agent - Health4/9/20098/25/2011
InactiveNassau Life Insurance Company of Texas300872Agent - Health4/9/20098/25/2011
InactiveNassau Life Insurance Company of Texas300872Agent - Life4/9/20098/25/2011
ActiveNational Western Life Insurance Company301515Agent - Life12/28/2017 
InactiveNorth American Company for Life and Health Insurance300291Agent - Health1/5/20116/6/2014
InactiveNorth American Company for Life and Health Insurance300291Agent - Life1/5/20116/6/2014
InactiveOxford Life Insurance Company301079Agent - Life5/6/20103/2/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Health2/17/20108/25/2011
InactivePenn Treaty Network America Insurance Company301297Agent - Health5/5/20046/8/2005
InactivePenn Treaty Network America Insurance Company301297Agent - Life5/5/20046/8/2005
InactivePennsylvania Life Insurance Company301321Agent - Health4/9/20098/25/2011
ActiveSagicor Life Insurance Company300459Agent - Life10/2/2018 
InactiveTime Insurance Company300683Agent - Health4/27/201012/4/2012
InactiveTime Insurance Company300683Agent - Life4/27/201012/4/2012
InactiveUnited World Life Insurance Company300532Agent - Health7/28/20089/19/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Health12/31/200912/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life12/31/200912/26/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/17/20108/25/2011
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFollett, Beau R 365485Agent - Health11/16/20105/15/2012
InactiveFollett, Beau R 365485Agent - Life11/10/20105/15/2012
InactiveFollett, Richard L 374653Agent - Health3/31/201012/13/2010
InactiveFollett, Richard L 374653Agent - Life3/31/201012/13/2010
ActiveFuller, Glen Allen 777233Agent - Health5/15/2012 
ActiveFuller, Glen Allen 777233Agent - Life5/15/2012 

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