DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Annuity Shoppe LLC DBA : The Annuity Shoppe Marketing Services, LLC	DOIID	679719	NAIC NPN	9919531

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/2/2008		3/31/2026
Inactive	Non Resident	Agent	Health	1/8/2016	10/24/2023
* 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	1/7/2009	6/22/2018
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	8/5/2008
Active	American National Insurance Company	301861	Agent - Life	8/21/2008
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	9/15/2008	9/29/2011
Active	EquiTrust Life Insurance Company	502870	Agent - Life	8/4/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Life	7/29/2008	10/4/2012
Active	Integrity Life Insurance Company	301687	Agent - Life	3/14/2009
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	8/19/2008	11/10/2022
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/10/2008	12/16/2019
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	9/15/2008	12/16/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	9/15/2008	12/6/2011
Active	Nationwide Life Insurance Company	300495	Agent - Life	12/1/2008
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/24/2009
Active	North American Company for Life and Health Insurance	300291	Agent - Life	7/30/2008
Active	Principal Life Insurance Company	300129	Agent - Life	8/11/2008
Inactive	Symetra Life Insurance Company	301691	Agent - Health	12/7/2018	10/24/2023
Active	Symetra Life Insurance Company	301691	Agent - Life	12/7/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/2/2009	1/27/2014
Active	Washington National Insurance Company	300587	Agent - Life	12/21/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/13/2018	8/3/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	8/3/2022
Inactive	LaPierre, Neal Edward	525464	Agent - Life	5/2/2008	6/1/2009
Inactive	North, Timothy Owen	514133	Agent - Health	1/8/2016	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	6/1/2009	4/13/2018
Denied	Sheen, Andrew	1292171	Agent - Health
Active	Sheen, Andrew	1292171	Agent - Life	10/26/2023
Inactive	Sipes, Janet Leigh	658658	Agent - Health	8/11/2022	10/24/2023
Inactive	Sipes, Janet Leigh	658658	Agent - Life	8/3/2022	10/24/2023