DEPARTMENT OF INSURANCE

Affiliations

Name	Gerber Life Agency LLC	DOIID	616051	NAIC NPN	8575695

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	5/16/2022	3/31/2027
Active	Non Resident	Agent	Life	9/16/2005	3/31/2027
Active	Non Resident	Agent	Health	9/12/2014	3/31/2027
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	2/16/2022	5/12/2023
Active	American General Life Insurance Company	301585	Agent - Life	4/7/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	2/4/2010	6/7/2011
Active	Banner Life Insurance Company	301696	Agent - Life	2/4/2015
Active	Columbus Life Insurance Company	301227	Agent - Life	1/28/2011
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	4/21/2023	12/13/2024
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/3/2010	10/4/2012
Active	Gerber Life Insurance Company	300529	Agent - Health	8/14/2019
Active	Gerber Life Insurance Company	300529	Agent - Life	8/14/2019
Active	Integrity Life Insurance Company	301687	Agent - Life	1/26/2024
Active	Lafayette Life Insurance Company (The)	301039	Agent - Life	2/22/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/25/2009
Active	Pacific Life Insurance Company	301848	Agent - Health	1/4/2019
Active	Pacific Life Insurance Company	301848	Agent - Life	1/4/2019
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/7/2008	2/3/2017
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/28/2013
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/7/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	12/2/2019
Active	Western and Southern Life Insurance Company	301744	Agent - Health	5/12/2017
Active	Western and Southern Life Insurance Company	301744	Agent - Life	10/6/2005
Active	Western-Southern Life Assurance Company	301590	Agent - Health	5/12/2017
Active	Western-Southern Life Assurance Company	301590	Agent - Life	5/12/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Boger, Shane	857251	Administrator - Not Applicable	2/4/2025
Active	Boger, Shane	857251	Agent - Health	2/4/2025
Active	Boger, Shane	857251	Agent - Life	2/4/2025
Inactive	Davenport, Darryl	594119	Agent - Health	8/21/2019	11/21/2022
Inactive	Davenport, Darryl	594119	Agent - Life	8/21/2019	11/21/2022
Active	Erlebacher, Adam J	918505	Administrator - Not Applicable	5/16/2022
Active	Erlebacher, Adam J	918505	Agent - Health	3/25/2022
Active	Erlebacher, Adam J	918505	Agent - Life	3/25/2022
Active	Lynch, Joseph Hanlon	503651	Agent - Health	9/12/2014
Active	Lynch, Joseph Hanlon	503651	Agent - Life	9/16/2005