DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	ADH, LLC	DOIID	598638	NAIC NPN	8310084

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/18/2004	3/31/2022
Inactive	Resident	Agent	Health	11/18/2004	3/31/2022
Inactive	Resident	Life Settlement Broker	Not Applicable	2/27/2006	5/6/2008
* 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	American General Life Insurance Company	301585	Agent - Health	11/22/2004	10/15/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	11/22/2004	10/15/2010
Inactive	Athene Annuity and Life Company	301893	Agent - Life	6/19/2009	4/8/2013
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	2/22/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	2/22/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	2/22/2006	3/31/2022
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/22/2006	3/31/2022
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	2/22/2006	2/19/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	10/20/2005	12/14/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	10/20/2005	12/14/2010
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	4/7/2006	2/10/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/7/2006	12/1/2008
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	3/17/2006	3/31/2022
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	3/17/2006	3/31/2022
Inactive	United Home Life Insurance Company	300421	Agent - Life	8/29/2006	11/18/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Charles Earl	393325	Agent - Health	11/18/2004	3/31/2022
Inactive	Anderson, Charles Earl	393325	Agent - Life	11/18/2004	3/31/2022
Inactive	Anderson, Charles Todd	328974	Agent - Health	2/14/2007	3/31/2022
Inactive	Anderson, Charles Todd	328974	Agent - Life	2/14/2007	3/31/2022
Inactive	Anderson, Charles Todd	328974	Life Settlement Broker - Not Applicable	8/24/2006	5/19/2008