DEPARTMENT OF INSURANCE
Affiliations
NameFirst Serve, Inc.DOIID608316NAIC NPN8462842
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife5/24/20063/31/2020 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive5 Star Life Insurance Company300673Agent - Life11/27/201211/16/2016
InactiveAmerican United Life Insurance Company300498Agent - Life2/3/20103/20/2013
InactiveCincinnati Equitable Life Insurance Company641870Agent - Life10/6/200812/21/2009
InactiveColumbian Life Insurance Company300810Agent - Life4/3/20129/20/2017
InactiveForethought Life Insurance Company301407Agent - Life9/20/20063/31/2020
InactiveHomesteaders Life Company300836Agent - Life10/23/201810/31/2018
InactiveIndependent Order of Foresters300743Agent - Life10/22/201210/13/2016
InactiveLiberty Bankers Life Insurance Company542461Agent - Life3/22/201111/20/2013
InactiveMadison National Life Insurance Company Inc.301458Agent - Life5/10/20113/31/2020
InactiveMutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company300585Agent - Life6/29/20101/21/2013
InactiveOxford Life Insurance Company301079Agent - Life3/13/20121/10/2018
InactivePioneer Mutual Life Insurance Company501695Agent - Life2/3/20103/20/2013
InactiveReserve National Insurance Company301073Agent - Life9/27/20123/10/2014
InactiveSecurity Mutual Life Insurance Company of NY300708Agent - Life2/16/20103/17/2011
InactiveSouthern Financial Life Insurance Company300664Agent - Life7/1/20063/31/2020
InactiveStandard Life and Accident Insurance Company301534Agent - Life3/18/201111/28/2013
InactiveTransamerica Life Insurance Company300571Agent - Life3/1/20162/11/2019
InactiveTransamerica Premier Life Insurance Company300558Agent - Life3/26/20142/11/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBenton, Mark Eldredge 505802Agent - Life5/24/20063/31/2020

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