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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2027	03/31/2027
Agent	01/15/2027	03/31/2027

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
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/25/2009	9/11/2025
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
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/28/2013	3/24/2026
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
Inactive	Erlebacher, Adam J	918505	Administrator - Not Applicable	5/16/2022	6/30/2025
Inactive	Erlebacher, Adam J	918505	Agent - Health	3/25/2022	6/30/2025
Inactive	Erlebacher, Adam J	918505	Agent - Life	3/25/2022	6/30/2025
Inactive	Lynch, Joseph Hanlon	503651	Agent - Health	9/12/2014	4/8/2026
Inactive	Lynch, Joseph Hanlon	503651	Agent - Life	9/16/2005	4/8/2026