DEPARTMENT OF INSURANCE

Affiliations

Name	1st American Estate Planning LLC	DOIID	714528	NAIC NPN	10678673

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/29/2009	3/31/2027
Active	Non Resident	Agent	Life	9/29/2009	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	01/30/2025	01/30/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Life & Security Corp	1055058	Agent - Life	7/14/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	7/11/2016	12/28/2020
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/21/2015	12/28/2020
Active	Bankers Life and Casualty Company	300701	Agent - Health	7/10/2024
Active	Bankers Life and Casualty Company	300701	Agent - Life	7/10/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/6/2019	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/6/2019	2/3/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/9/2024
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/5/2010	1/27/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/5/2010	1/27/2014
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/14/2020
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/14/2020
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/14/2011
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/14/2011
Active	Medco Containment Life Insurance Company	301557	Agent - Health	10/23/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	1/21/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/21/2020
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/29/2010	11/3/2011
Active	Sagicor Life Insurance Company	300459	Agent - Life	11/8/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	9/16/2022
Active	United American Insurance Company	300910	Agent - Health	11/13/2023
Active	United American Insurance Company	300910	Agent - Life	11/13/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/29/2010
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/4/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/4/2022	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/4/2022	12/17/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/13/2018	11/9/2021
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	11/9/2021
Active	Graham, Matthew B	640480	Agent - Health	11/9/2021
Active	Graham, Matthew B	640480	Agent - Life	11/9/2021
Inactive	North, Timothy Owen	514133	Agent - Health	9/29/2009	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	9/29/2009	4/13/2018