PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAgent Distribution Center LLCDOIID598231NAIC NPN8304377
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/18/2005 3/31/2027
ActiveNon ResidentAgentHealth5/18/2005 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/202501/30/202501/30/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMutual of Omaha Insurance Company301012Agent - Health6/15/20051/27/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/15/20051/27/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/15/20051/27/2014
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBoesch, Kenneth W 510066Agent - Health5/18/20051/31/2010
InactiveBoesch, Kenneth W 510066Agent - Life5/18/20051/31/2010
InactiveGraham, Mark Burnside 638756Agent - Health4/12/201812/15/2021
InactiveGraham, Mark Burnside 638756Agent - Life4/12/201812/15/2021
ActiveGraham, Matthew B 640480Agent - Health10/29/2024 
ActiveGraham, Matthew B 640480Agent - Life10/29/2024 
InactiveNorth, Timothy Owen 514133Agent - Health4/23/20104/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life4/23/20104/13/2018
InactiveRamsey, Ryan 1002323Agent - Health12/15/202110/30/2024
InactiveRamsey, Ryan 1002323Agent - Life12/15/202110/30/2024

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