DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Russell, Lance Scott	DOIID	575996	NAIC NPN	4559601

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/3/2006	5/31/2021
Inactive	Non Resident	Agent	Health	1/3/2006	5/31/2021
Inactive	Non Resident	Agent	Property	1/3/2006	5/31/2021
Inactive	Non Resident	Agent	Life	1/3/2006	5/31/2021
* 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	ACE American Insurance Company	300625	Agent - Casualty	10/28/2003	5/31/2005
Inactive	ACE American Insurance Company	300625	Agent - Property	10/28/2003	5/31/2005
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	8/25/2006	9/30/2008
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	8/25/2006	9/30/2008
Inactive	CSI Life Insurance Company	596032	Agent - Life	8/21/2009	4/27/2010
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	2/6/2004	5/31/2005
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	2/6/2004	5/31/2005
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	2/6/2004	5/31/2005
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	2/6/2004	5/31/2005
Inactive	Combined Insurance Company of America	301472	Agent - Health	7/3/2007	11/16/2007
Inactive	Combined Insurance Company of America	301472	Agent - Life	7/3/2007	11/16/2007
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/15/2012	5/10/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/4/2008	5/31/2021
Inactive	Union Security Insurance Company	301844	Agent - Health	7/23/2004	5/31/2005
Inactive	Union Security Insurance Company	301844	Agent - Life	7/23/2004	5/31/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/15/2012	5/10/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/15/2012	5/10/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	PCCW Teleservices (US) , Inc.	533374	Agent - Casualty
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	3/30/2012	3/31/2021
Denied	PCCW Teleservices (US) , Inc.	533374	Agent - Life
Denied	PCCW Teleservices (US) , Inc.	533374	Agent - Property