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DEPARTMENT OF INSURANCE
Affiliations
Name
F B P Ins Services LLC
DOIID
568596
NAIC NPN
686890
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Non Resident
Administrator
Not Applicable
Inactive
Non Resident
Agent
Health
10/3/2012
5/21/2019
Inactive
Non Resident
Agent
Life
10/3/2012
5/21/2019
* 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
Colonial Life and Accident Insurance Company
300846
Agent - Health
10/18/2013
5/21/2019
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
10/18/2013
5/21/2019
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
10/5/2012
5/21/2019
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
10/5/2012
5/21/2019
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
10/5/2012
5/21/2019
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
10/5/2012
5/21/2019
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Burmeister, Angela Rochelle
816011
Agent - Health
Denied
Burmeister, Angela Rochelle
816011
Agent - Life
Inactive
Jurenka, Jonathan Andrew
906364
Agent - Life
2/10/2016
5/21/2019
Inactive
Olson, Wade Robert
571728
Agent - Health
10/3/2012
6/7/2018
Inactive
Olson, Wade Robert
571728
Agent - Life
10/3/2012
6/7/2018
Inactive
Swinnerton, Matthew Carl
979306
Agent - Health
9/12/2018
5/21/2019
Denied
Swinnerton, Matthew Carl
979306
Agent - Life
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