DEPARTMENT OF INSURANCE

Affiliations

Name	Cp Risk Management Services LLC	DOIID	647417	NAIC NPN	9035476

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	1/10/2007	3/31/2025
Active	Resident	Agent	Life	1/10/2007	3/31/2025
Active	Resident	Life Settlement Broker	Not Applicable	5/20/2024	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
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accordia Life and Annuity Company	502966	Agent - Life	9/16/2014	1/28/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/14/2007	12/27/2017
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/14/2007	12/27/2017
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	10/8/2014	1/4/2017
Active	American General Life Insurance Company	301585	Agent - Health	3/21/2007
Active	American General Life Insurance Company	301585	Agent - Life	3/21/2007
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	3/21/2007	12/31/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	3/21/2007	12/31/2012
Inactive	American National Insurance Company	301861	Agent - Health	8/3/2015	5/25/2021
Active	American National Insurance Company	301861	Agent - Life	8/3/2015
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	1/1/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	2/13/2012	1/1/2022
Active	Aspida Life Insurance Company	301934	Agent - Life	8/10/2022
Inactive	Assurity Life Insurance Company	301099	Agent - Health	8/9/2013	12/27/2016
Inactive	Assurity Life Insurance Company	301099	Agent - Life	8/9/2013	12/27/2016
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/3/2008	6/10/2011
Active	Athene Annuity and Life Company	301893	Agent - Life	9/26/2023
Active	Augustar Life Assurance Corporation	301113	Agent - Health	6/17/2022
Active	Augustar Life Assurance Corporation	301113	Agent - Life	6/17/2022
Active	Augustar Life Insurance Company	301816	Agent - Life	6/17/2022
Active	Banner Life Insurance Company	301696	Agent - Life	3/31/2011
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	4/15/2020
Inactive	Clear Spring Life and Annuity Company	300919	Agent - Life	8/20/2019	6/28/2023
Inactive	Columbus Life Insurance Company	301227	Agent - Health	8/12/2010	10/17/2011
Active	Columbus Life Insurance Company	301227	Agent - Life	8/10/2021
Active	Delaware Life Insurance Company	301256	Agent - Life	1/29/2020
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	10/2/2012	12/23/2020
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	6/27/2008	12/23/2020
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Health	4/28/2016
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	4/28/2016
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/9/2023
Active	Forethought Life Insurance Company	301407	Agent - Health	11/10/2014
Active	Forethought Life Insurance Company	301407	Agent - Life	11/10/2014
Active	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	5/1/2020
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/27/2008	10/4/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/27/2008	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	8/26/2008	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	8/26/2008	12/14/2016
Active	Guaranty Income Life Insurance Company	552451	Agent - Health	7/19/2023
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	7/19/2023
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/4/2007	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/4/2007	12/30/2009
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	8/3/2007
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/3/2007
Active	Life Insurance Company of the Southwest	301867	Agent - Health	8/6/2021
Active	Life Insurance Company of the Southwest	301867	Agent - Life	8/6/2021
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	7/16/2008	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	7/16/2008	7/14/2014
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/29/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/29/2022
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	2/7/2014	1/12/2018
Inactive	MedAmerica Insurance Company	301568	Agent - Health	4/27/2007	9/2/2015
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	4/29/2008	11/20/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/18/2010	11/14/2014
Active	Metropolitan Life Insurance Company	301948	Agent - Health	10/15/2010
Active	Metropolitan Life Insurance Company	301948	Agent - Life	10/15/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/1/2011	12/26/2012
Active	National Life Insurance Company	301852	Agent - Health	4/7/2014
Active	National Life Insurance Company	301852	Agent - Life	4/7/2014
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	11/1/2013
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/1/2013
Active	North American Company for Life and Health Insurance	300291	Agent - Life	6/7/2018
Active	Pacific Life Insurance Company	301848	Agent - Health	3/19/2019
Active	Pacific Life Insurance Company	301848	Agent - Life	3/19/2019
Active	Penn Insurance and Annuity Company	300712	Agent - Life	3/21/2023
Active	Penn Mutual Life Insurance Company	301394	Agent - Life	3/21/2023
Active	Principal Life Insurance Company	300129	Agent - Health	11/3/2007
Active	Principal Life Insurance Company	300129	Agent - Life	11/3/2007
Active	Principal National Life Insurance Company	301926	Agent - Life	2/21/2012
Active	Protective Life Insurance Company	300638	Agent - Health	9/27/2022
Active	Protective Life Insurance Company	300638	Agent - Life	9/27/2022
Active	Pruco Life Insurance Company	300954	Agent - Health	1/9/2012
Active	Pruco Life Insurance Company	300954	Agent - Life	1/9/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	1/24/2007	2/3/2017
Active	Sagicor Life Insurance Company	300459	Agent - Life	5/3/2021
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	1/24/2007	9/29/2012
Active	Standard Insurance Company	300185	Agent - Health	7/17/2009
Active	Standard Insurance Company	300185	Agent - Life	7/17/2009
Active	State Life Insurance Company	301497	Agent - Health	1/1/2013
Active	State Life Insurance Company	301497	Agent - Life	1/1/2013
Active	Symetra Life Insurance Company	301691	Agent - Health	11/22/2013
Active	Symetra Life Insurance Company	301691	Agent - Life	11/22/2013
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	8/27/2010	6/20/2018
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/17/2008
Inactive	Union Central Life Insurance Company	300307	Agent - Health	10/27/2008	7/1/2014
Inactive	Union Central Life Insurance Company	300307	Agent - Life	10/27/2008	7/1/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/1/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/1/2011	12/26/2012
Inactive	West Coast Life Insurance Company	301607	Agent - Health	4/14/2008	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	4/14/2008	11/16/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brangers, Jason Kyle	311501	Agent - Life	5/17/2010	10/1/2011
Inactive	Butt, Ronald Dean	378498	Agent - Health	5/17/2010	7/6/2017
Inactive	Butt, Ronald Dean	378498	Agent - Life	5/17/2010	7/6/2017
Inactive	Dannemiller, Jonathan Paul	533911	Agent - Health	12/17/2020	3/2/2023
Inactive	Dannemiller, Jonathan Paul	533911	Agent - Life	12/17/2020	3/2/2023
Active	Davis, Jeremy Franklin	738195	Life Settlement Broker - Not Applicable	5/20/2024
Active	Lane, William Asher	712211	Agent - Health	9/21/2023
Active	Lane, William Asher	712211	Agent - Life	9/27/2023
Inactive	Lewis, Boone	918912	Agent - Health	10/11/2022	1/11/2024
Inactive	Lewis, Boone	918912	Agent - Life	10/11/2022	1/11/2024
Inactive	Lynch, Kevin John	580406	Agent - Health	10/4/2021	5/1/2022
Inactive	Lynch, Kevin John	580406	Agent - Life	5/17/2010	5/1/2022
Inactive	Partin, Jeff	984579	Agent - Health	6/3/2021	10/11/2022
Inactive	Partin, Jeff	984579	Agent - Life	6/3/2021	10/11/2022
Active	Passafiume, Barbara V	1049337	Agent - Health	8/2/2023
Active	Passafiume, Barbara V	1049337	Agent - Life	8/2/2023
Active	Quinlan, Neil Lawrence	602289	Agent - Health	5/17/2010
Active	Quinlan, Neil Lawrence	602289	Agent - Life	5/17/2010
Inactive	Reeves, Patrick Joseph	344022	Agent - Health	1/10/2007	10/1/2012
Inactive	Reeves, Patrick Joseph	344022	Agent - Life	1/10/2007	10/1/2012
Active	Sellinger, Micah Aaron	1071599	Agent - Health	3/21/2024
Active	Sellinger, Micah Aaron	1071599	Agent - Life	3/21/2024
Active	Snyder, Ellie D	1247227	Agent - Life	4/26/2023
Inactive	Spillers, Angel C	1243702	Agent - Health	11/29/2022	9/8/2023
Inactive	Spillers, Angel C	1243702	Agent - Life	11/29/2022	9/8/2023
Inactive	Surrell, Joseph S	365316	Agent - Health	3/11/2021	2/14/2024
Inactive	Surrell, Joseph S	365316	Agent - Life	3/11/2021	2/14/2024
Active	Sutton, Jeanne Johnson	708311	Agent - Health	10/3/2016
Active	Sutton, Jeanne Johnson	708311	Agent - Life	5/17/2010
Inactive	Tichenor, Joseph Horace	533590	Agent - Health	5/17/2010	1/31/2022
Inactive	Tichenor, Joseph Horace	533590	Agent - Life	5/17/2010	1/31/2022
Inactive	Udell, Byron Jay	305202	Agent - Health	3/31/2023	4/25/2023
Inactive	Udell, Byron Jay	305202	Agent - Life	3/31/2023	4/25/2023
Inactive	Wade, Kimberly	1140864	Agent - Life	11/22/2022	9/14/2023
Inactive	Wahl, Steven F	359514	Agent - Health	5/17/2010	3/1/2023
Inactive	Wahl, Steven F	359514	Agent - Life	5/17/2010	12/12/2022
Inactive	Waldridge, Michael Leon	392785	Agent - Health	5/17/2010	10/31/2020
Inactive	Waldridge, Michael Leon	392785	Agent - Life	5/17/2010	10/31/2020
Inactive	Woolbright, Luke Aaron	1011496	Agent - Life	10/5/2023	11/20/2023
Inactive	Zimmerman, David Alan	386557	Agent - Health	5/17/2010	6/30/2021
Inactive	Zimmerman, David Alan	386557	Agent - Life	5/17/2010	6/30/2021