DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Designers Of America , LLC	DOIID	583874	NAIC NPN	7932569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/2/2004		3/31/2026
Inactive	Non Resident	Agent	Health	2/2/2004	2/23/2010
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	8/12/2010	12/6/2021
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/21/2009	7/10/2014
Active	Banner Life Insurance Company	301696	Agent - Life	9/28/2009
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/11/2008	3/14/2012
Active	Forethought Life Insurance Company	301407	Agent - Life	8/6/2019
Active	Gerber Life Insurance Company	300529	Agent - Life	1/7/2013
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/14/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/14/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	2/23/2010
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/24/2009	2/23/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/24/2009	4/2/2025
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/7/2010	12/17/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/20/2007	2/23/2010
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/22/2012	3/10/2025
Active	Protective Life Insurance Company	300638	Agent - Life	9/15/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022	1/8/2025
Inactive	State Life Insurance Company	301497	Agent - Life	5/10/2010	5/23/2024
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	11/10/2006	9/20/2007
Inactive	United World Life Insurance Company	300532	Agent - Health	7/20/2007	2/23/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/20/2007	2/23/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/20/2007	1/27/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Imhoff, George William	619931	Agent - Health	2/19/2007	4/7/2008
Inactive	Imhoff, George William	619931	Agent - Life	2/19/2007	4/7/2008
Active	Jacobson, Nathan Sp	1201481	Agent - Life	6/1/2023
Inactive	Jeanes, Shawn Christopher	546821	Agent - Health	4/7/2008	2/23/2010
Inactive	Jeanes, Shawn Christopher	546821	Agent - Life	4/7/2008	12/31/2010
Inactive	Massey, Samuel E	558397	Agent - Life	9/15/2011	6/1/2023
Denied	Roberts, Gregory D	695857	Agent - Health
Inactive	Roberts, Gregory D	695857	Agent - Life	4/6/2010	9/15/2011