DEPARTMENT OF INSURANCE
Affiliations
NameEAI Acquisition Company, LLCDOIID572463NAIC NPN7554714
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedNon ResidentAgentVariable Life and Variable Annuities   
DeniedNon ResidentAgentHealth   
InactiveNon ResidentAgentLife10/22/20043/31/2008 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life12/13/20043/31/2008
InactiveHealthSpring National Health Insurance Company300235Agent - Health2/13/20046/30/2004
InactiveHealthSpring National Health Insurance Company300235Agent - Life2/13/20046/30/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health1/16/20046/30/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life1/16/20046/30/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health1/16/20046/30/2004
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life1/16/20046/30/2004
InactiveMutual of Omaha Insurance Company301012Agent - Health3/18/20046/30/2004
InactivePrincipal Life Insurance Company300129Agent - Life1/12/20073/31/2008
InactiveWest Coast Life Insurance Company301607Agent - Life6/30/20046/30/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMackey, Timothy E 366767Agent - Health9/15/20036/30/2004
InactiveMackey, Timothy E 366767Agent - Life10/22/20043/31/2008

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