PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameEquitable Senior Solutions LLCDOIID716964NAIC NPN15079776
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/30/2009 3/31/2027
ActiveNon ResidentAgentLife10/30/2009 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/202501/31/202501/31/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life4/12/20112/11/2014
InactiveChesapeake Life Insurance Company (The)301017Agent - Health3/29/20192/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life3/29/20192/3/2025
InactiveForethought Life Insurance Company301407Agent - Health12/23/20101/31/2018
InactiveForethought Life Insurance Company301407Agent - Life12/23/20101/31/2018
InactiveGerber Life Insurance Company300529Agent - Health6/13/20222/7/2023
InactiveGerber Life Insurance Company300529Agent - Life6/13/20222/7/2023
InactiveLumico Life Insurance Company300354Agent - Life8/2/20209/13/2024
InactiveMutual of Omaha Insurance Company301012Agent - Health10/4/20101/27/2014
InactiveNassau Life Insurance Company of Kansas300667Agent - Health2/4/20213/20/2023
InactiveNational Western Life Insurance Company301515Agent - Life3/12/201310/29/2019
InactiveOmaha Insurance Company751908Agent - Health3/30/20121/27/2014
InactivePacifiCare Life and Health Insurance Company301304Agent - Health7/21/201110/28/2011
InactiveRoyal Neighbors of America301646Agent - Life1/23/20231/25/2023
InactiveSILAC Insurance Company300535Agent - Health10/10/20129/23/2013
InactiveSILAC Insurance Company300535Agent - Life10/10/20129/23/2013
ActiveSentinel Security Life Insurance Company935789Agent - Health2/12/2018 
ActiveSentinel Security Life Insurance Company935789Agent - Life2/12/2018 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/4/20101/27/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/4/20101/27/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/21/20116/5/2019
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/20186/5/2019
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/21/201112/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/11/20156/5/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGraham, Mark Burnside 638756Agent - Health4/13/20182/28/2022
InactiveGraham, Mark Burnside 638756Agent - Life4/13/20182/28/2022
ActiveGraham, Matthew B 640480Agent - Health2/28/2022 
ActiveGraham, Matthew B 640480Agent - Life2/28/2022 
InactiveNorth, Timothy Owen 514133Agent - Health10/30/20094/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life10/30/20094/13/2018

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