DEPARTMENT OF INSURANCE

Affiliations

Name	The Life and Annuity Shop, LLC	DOIID	712024	NAIC NPN	13880030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/24/2009	3/31/2027
Active	Non Resident	Agent	Health	8/24/2009	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
Active	AmFirst Insurance Company	999525	Agent - Life	5/31/2024
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	5/20/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	7/3/2011	11/9/2012
Active	American General Life Insurance Company	301585	Agent - Life	7/28/2014
Active	American Life & Security Corp	1055058	Agent - Life	7/14/2023
Inactive	American National Insurance Company	301861	Agent - Health	5/21/2010	6/11/2021
Active	American National Insurance Company	301861	Agent - Life	5/21/2010
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	7/20/2016	10/3/2023
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	5/9/2014
Active	Atlantic Coast Life Insurance Company	642114	Agent - Life	7/30/2016
Inactive	Bankers Life Insurance Company	301784	Agent - Life	9/30/2013	2/8/2019
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	6/11/2021
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/13/2011
Active	Forethought Life Insurance Company	301407	Agent - Life	11/11/2009
Active	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	6/4/2020
Inactive	Genworth Life Insurance Company	300623	Agent - Health	4/29/2010	10/4/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	4/29/2010	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/29/2010	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	4/29/2010	10/4/2012
Active	Gerber Life Insurance Company	300529	Agent - Health	6/11/2013
Active	Gerber Life Insurance Company	300529	Agent - Life	6/11/2013
Active	Integrity Life Insurance Company	301687	Agent - Life	9/15/2009
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	10/5/2018
Active	LifeShield National Insurance Company	737111	Agent - Life	2/20/2020
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	5/25/2010	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	5/25/2010	7/14/2014
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/17/2010
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/17/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/27/2010	1/27/2014
Inactive	Nassau Life and Annuity Company	513671	Agent - Life	4/15/2019	11/30/2021
Active	National Security Insurance Company	1282495	Agent - Life	1/19/2024
Active	National Western Life Insurance Company	301515	Agent - Life	2/21/2011
Active	Nationwide Life Insurance Company	300495	Agent - Health	4/11/2024
Active	Nationwide Life Insurance Company	300495	Agent - Life	4/11/2024
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	1/19/2021
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/19/2021
Active	Oceanview Life and Annuity Company	301868	Agent - Life	2/4/2020
Active	Ohio State Life Insurance Company (The)	300865	Agent - Life	10/11/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	1/27/2014
Inactive	PHL Variable Insurance Company	300525	Agent - Life	9/23/2014	12/4/2020
Active	Pacific Guardian Life Insurance Co., Ltd.	1074040	Agent - Life	6/7/2022
Active	Protective Life Insurance Company	300638	Agent - Life	10/11/2011
Active	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022
Active	Royal Neighbors of America	301646	Agent - Life	1/23/2015
Inactive	SILAC Insurance Company	300535	Agent - Health	10/10/2012	9/23/2013
Active	SILAC Insurance Company	300535	Agent - Life	3/28/2019
Active	Sentinel Security Life Insurance Company	935789	Agent - Health	2/14/2018
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	2/14/2018
Active	Talcott Resolution Life Insurance Company	301759	Agent - Health	5/21/2010
Active	Talcott Resolution Life Insurance Company	301759	Agent - Life	5/21/2010
Active	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	5/21/2010
Active	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/21/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/27/2010	1/27/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/27/2010	1/27/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/5/2011	11/19/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/5/2011	11/19/2014
Inactive	West Coast Life Insurance Company	301607	Agent - Health	5/28/2010	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	5/28/2010	11/16/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/13/2018	9/22/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	9/22/2022
Inactive	North, Timothy Owen	514133	Agent - Health	8/24/2009	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	8/24/2009	4/13/2018
Inactive	Ramsey, Ryan	1002323	Agent - Health	7/18/2024	2/6/2025
Inactive	Ramsey, Ryan	1002323	Agent - Life	7/18/2024	2/6/2025
Active	Sheen, Andrew	1292171	Agent - Health	7/30/2024
Active	Sheen, Andrew	1292171	Agent - Life	7/3/2024
Inactive	Sipes, Janet Leigh	658658	Agent - Health	9/22/2022	2/6/2025
Inactive	Sipes, Janet Leigh	658658	Agent - Life	9/22/2022	2/6/2025