DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Surenkamp, Raymond Michael	DOIID	565337	NAIC NPN	1450748

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/6/2003	12/31/2022
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	5/19/2021	12/31/2022
Inactive	Athene Annuity and Life Company	301893	Agent - Life	1/4/2013	1/7/2016
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	4/8/2020	10/18/2022
Inactive	Midland National Life Insurance Company	300923	Agent - Life	12/14/2016	12/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United Capital Risk Management LLC	739083	Agent - Life	5/2/2018	12/20/2021