DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Select And Associates	DOIID	689862	NAIC NPN	11769507

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/4/2010	3/31/2018
Inactive	Resident	Agent	Health	9/24/2008	3/31/2010
* 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	American Continental Insurance Company	643130	Agent - Life	7/17/2013	11/12/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Health	3/31/2009	6/1/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	3/31/2009	6/1/2009
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	7/28/2009	3/31/2010
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	1/14/2011	3/31/2018
Inactive	Columbian Life Insurance Company	300810	Agent - Life	1/30/2011	3/8/2016
Inactive	Independent Order of Foresters	300743	Agent - Life	6/29/2010	4/22/2014
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	3/27/2017	3/31/2018
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	6/9/2010	12/20/2011
Inactive	Oxford Life Insurance Company	301079	Agent - Health	10/21/2008	3/31/2010
Inactive	Oxford Life Insurance Company	301079	Agent - Life	4/17/2013	3/31/2018
Inactive	Texas Life Insurance Company	300345	Agent - Life	11/2/2009	3/31/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crabtree, David G	339559	Agent - Life	6/4/2010	3/31/2018
Inactive	Metcalfe, Darrell Vincent	365114	Agent - Health	9/24/2008	3/31/2010
Inactive	Metcalfe, Darrell Vincent	365114	Agent - Life	9/24/2008	3/31/2010