DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	National Guardian Life Ins Co (TPA)	DOIID	605810	NAIC NPN	7216

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	3/23/2011	7/1/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ek, Stephanie A	693886	Administrator - Not Applicable	12/18/2018	4/30/2020
Inactive	Forney, Kenneth Allen	607709	Administrator - Not Applicable	3/23/2011	7/31/2013
Inactive	Fosdick, Janet Irean	607707	Administrator - Not Applicable	3/23/2011	9/30/2018