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DEPARTMENT OF INSURANCE
Affiliations
Name
Benefit Guaranty LLC
DOIID
595049
NAIC NPN
8022311
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
12/10/2021
3/31/2026
Active
Non Resident
Agent
Health
12/10/2021
3/31/2026
* 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 - Health
11/9/2004
3/9/2005
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
1/6/2010
5/20/2012
Inactive
Aetna Life Insurance Company
301140
Agent - Health
1/6/2010
5/20/2012
Inactive
Aetna Life Insurance Company
301140
Agent - Life
1/6/2010
5/20/2012
Inactive
American Fidelity Assurance Company
301004
Agent - Health
8/22/2005
1/12/2006
Inactive
American Fidelity Assurance Company
301004
Agent - Life
8/22/2005
1/12/2006
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
4/18/2005
2/7/2011
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
4/18/2005
2/7/2011
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Health
6/8/2007
11/15/2012
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Life
6/8/2007
11/15/2012
Inactive
Life Insurance Company of North America
300711
Agent - Health
12/7/2009
7/1/2014
Inactive
Life Insurance Company of North America
300711
Agent - Life
12/7/2009
7/1/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
9/18/2014
11/1/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
9/18/2014
11/1/2021
Active
Metropolitan Life Insurance Company
301948
Agent - Health
1/23/2024
Active
Metropolitan Life Insurance Company
301948
Agent - Life
1/23/2024
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
12/1/2014
11/1/2021
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
12/1/2014
11/1/2021
Inactive
Pan-American Life Insurance Company
301530
Agent - Health
10/13/2005
1/24/2006
Inactive
Pan-American Life Insurance Company
301530
Agent - Life
10/13/2005
1/24/2006
Inactive
Stonebridge Life Insurance Company
301614
Agent - Health
10/14/2005
7/1/2014
Inactive
Stonebridge Life Insurance Company
301614
Agent - Life
10/14/2005
7/1/2014
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
5/24/2006
10/19/2007
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
5/24/2006
10/19/2007
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Black, William Pershing
354984
Agent - Health
9/29/2004
1/30/2006
Inactive
Black, William Pershing
354984
Agent - Life
9/29/2004
1/30/2006
Inactive
Denny, Joseph Paul
630496
Agent - Health
6/5/2006
12/31/2008
Inactive
Denny, Joseph Paul
630496
Agent - Life
6/5/2006
12/31/2008
Inactive
Keegan, Robert J
613015
Agent - Health
1/30/2006
10/29/2007
Inactive
Keegan, Robert J
613015
Agent - Life
1/30/2006
10/29/2007
Inactive
Lawton, Francis Asbury
651729
Agent - Health
9/3/2014
10/31/2016
Inactive
Lawton, Francis Asbury
651729
Agent - Life
9/3/2014
10/31/2016
Inactive
Palmer, Todd Z
651868
Agent - Health
3/9/2009
4/30/2014
Inactive
Palmer, Todd Z
651868
Agent - Life
3/9/2009
4/30/2014
Active
Puerta, Karen Johanna
1018397
Agent - Health
12/10/2021
Active
Puerta, Karen Johanna
1018397
Agent - Life
12/10/2021
Inactive
White, Christopher J
780848
Agent - Health
9/3/2014
8/31/2021
Inactive
White, Christopher J
780848
Agent - Life
9/3/2014
8/31/2021
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