DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Disability Specialist Inc	DOIID	604106	NAIC NPN	686859

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/15/2009	11/19/2021
Inactive	Non Resident	Agent	Health	9/15/2009	11/19/2021
* 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	Principal Life Insurance Company	300129	Agent - Health	10/9/2009	11/19/2021
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/9/2009	11/19/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fletcher, Scott J	570310	Agent - Health	7/11/2018	11/19/2021
Inactive	Fletcher, Scott J	570310	Agent - Life	7/11/2018	6/1/2021
Denied	Kingsley, Jessica	774968	Agent - Health
Denied	Kingsley, Jessica	774968	Agent - Life
Denied	Malott, Jennie Marie	1025428	Agent - Health
Denied	Malott, Jennie Marie	1025428	Agent - Life
Denied	Martin, John Michael	572543	Agent - Health
Denied	Martin, John Michael	572543	Agent - Life
Inactive	Pollock, William Lawrence	321003	Agent - Health	9/15/2009	4/30/2018
Inactive	Pollock, William Lawrence	321003	Agent - Life	9/15/2009	4/30/2018
Inactive	Roberts, Christian Jordan Smith	804913	Agent - Health	7/11/2018	11/19/2021
Inactive	Roberts, Christian Jordan Smith	804913	Agent - Life	7/11/2018	11/19/2021