DEPARTMENT OF INSURANCE
Affiliations
NamePace III, Warren MDOIID596599NAIC NPN1431698
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/6/2004 2/28/2025
ActiveNon ResidentAgentLife10/6/2004 2/28/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities10/6/2004 2/28/2025
* 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
ActiveAnthem Life Insurance Company301209Agent - Health1/2/2005 
ActiveAnthem Life Insurance Company301209Agent - Life1/2/2005 
ActiveGuardian Life Insurance Company of America301316Agent - Health3/3/2017 
ActiveGuardian Life Insurance Company of America301316Agent - Life3/3/2017 
InactiveHumana Insurance Company301104Agent - Health8/30/20069/8/2010
InactiveHumana Insurance Company301104Agent - Life8/30/20069/8/2010
InactiveKanawha Insurance Company300127Agent - Health4/11/20089/8/2010
InactiveKanawha Insurance Company300127Agent - Life4/11/20089/8/2010
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCBIZ Benefits & Ins Services Inc514101Agent - Life1/27/2005 
ActiveCBIZ Benefits & Ins Services Inc514101Agent - Health1/27/2005 
ActiveDesignated Agent Company Inc.681257Agent - Life12/3/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/3/2013 

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