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DEPARTMENT OF INSURANCE
Affiliations
Name
First Serve, Inc.
DOIID
608316
NAIC NPN
8462842
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
5/24/2006
3/31/2020
* 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
5 Star Life Insurance Company
300673
Agent - Life
11/27/2012
11/16/2016
Inactive
American United Life Insurance Company
300498
Agent - Life
2/3/2010
3/20/2013
Inactive
Cincinnati Equitable Life Insurance Company
641870
Agent - Life
10/6/2008
12/21/2009
Inactive
Columbian Life Insurance Company
300810
Agent - Life
4/3/2012
9/20/2017
Inactive
Forethought Life Insurance Company
301407
Agent - Life
9/20/2006
3/31/2020
Inactive
Homesteaders Life Company
300836
Agent - Life
10/23/2018
10/31/2018
Inactive
Independent Order of Foresters
300743
Agent - Life
10/22/2012
10/13/2016
Inactive
Liberty Bankers Life Insurance Company
542461
Agent - Life
3/22/2011
11/20/2013
Inactive
Madison National Life Insurance Company Inc.
301458
Agent - Life
5/10/2011
3/31/2020
Inactive
Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company
300585
Agent - Life
6/29/2010
1/21/2013
Inactive
Oxford Life Insurance Company
301079
Agent - Life
3/13/2012
1/10/2018
Inactive
Pioneer Mutual Life Insurance Company
501695
Agent - Life
2/3/2010
3/20/2013
Inactive
Reserve National Insurance Company
301073
Agent - Life
9/27/2012
3/10/2014
Inactive
Security Mutual Life Insurance Company of NY
300708
Agent - Life
2/16/2010
3/17/2011
Inactive
Southern Financial Life Insurance Company
300664
Agent - Life
7/1/2006
3/31/2020
Inactive
Standard Life and Accident Insurance Company
301534
Agent - Life
3/18/2011
11/28/2013
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
3/1/2016
2/11/2019
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
3/26/2014
2/11/2019
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Benton, Mark Eldredge
505802
Agent - Life
5/24/2006
3/31/2020
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