DEPARTMENT OF INSURANCE
Affiliations
NameService First BrokerageDOIID572137NAIC NPN3001437
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife9/17/20033/31/2023 
InactiveNon ResidentAgentHealth9/17/20033/31/2023 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican National Insurance Company301861Agent - Life5/23/20163/31/2023
InactiveBanner Life Insurance Company301696Agent - Life2/21/20073/31/2023
InactiveCompanion Life Insurance Company300191Agent - Health10/21/20133/31/2023
InactiveCompanion Life Insurance Company300191Agent - Life10/21/20133/31/2023
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life7/22/20083/10/2009
InactiveGenworth Life Insurance Company300623Agent - Health10/8/200312/3/2019
InactiveGenworth Life Insurance Company300623Agent - Life10/8/200312/3/2019
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health11/29/200710/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/29/200710/4/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health3/31/20063/31/2023
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/31/20063/31/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/3/20135/17/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Life9/3/20135/17/2023
InactiveMetropolitan Life Insurance Company301948Agent - Health9/27/20073/31/2023
InactiveMetropolitan Life Insurance Company301948Agent - Life9/27/20073/31/2023
InactiveMutual of Omaha Insurance Company301012Agent - Health1/25/20101/27/2014
InactiveNorth American Company for Life and Health Insurance300291Agent - Life7/20/20163/31/2023
InactivePacific Life Insurance Company301848Agent - Health10/17/20183/31/2023
InactivePacific Life Insurance Company301848Agent - Life10/17/20183/31/2023
InactivePruco Life Insurance Company300954Agent - Health9/6/20052/23/2011
InactivePruco Life Insurance Company300954Agent - Life9/6/20052/23/2011
InactiveReliaStar Life Insurance Company301712Agent - Life12/21/20044/15/2016
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health3/29/200412/15/2006
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life3/29/200412/15/2006
InactiveSymetra Life Insurance Company301691Agent - Health6/17/20087/19/2014
InactiveSymetra Life Insurance Company301691Agent - Life6/17/20087/19/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/15/20101/27/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/15/20101/27/2014
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAntrobius, Eric David 382211Agent - Health9/17/20033/31/2023
InactiveAntrobius, Eric David 382211Agent - Life9/17/20033/31/2023

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