DEPARTMENT OF INSURANCE

Affiliations

Name	Equitable Senior Solutions LLC	DOIID	716964	NAIC NPN	15079776

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/30/2009	3/31/2025
Active	Non Resident	Agent	Life	10/30/2009	3/31/2025
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	4/12/2011	2/11/2014
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/29/2019
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Life	3/29/2019
Inactive	Forethought Life Insurance Company	301407	Agent - Health	12/23/2010	1/31/2018
Inactive	Forethought Life Insurance Company	301407	Agent - Life	12/23/2010	1/31/2018
Inactive	Gerber Life Insurance Company	300529	Agent - Health	6/13/2022	2/7/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Life	6/13/2022	2/7/2023
Active	Lumico Life Insurance Company	300354	Agent - Life	8/2/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/4/2010	1/27/2014
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	2/4/2021	3/20/2023
Inactive	National Western Life Insurance Company	301515	Agent - Life	3/12/2013	10/29/2019
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	1/27/2014
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/21/2011	10/28/2011
Inactive	Royal Neighbors of America	301646	Agent - Life	1/23/2023	1/25/2023
Inactive	SILAC Insurance Company	300535	Agent - Health	10/10/2012	9/23/2013
Inactive	SILAC Insurance Company	300535	Agent - Life	10/10/2012	9/23/2013
Active	Sentinel Security Life Insurance Company	935789	Agent - Health	2/12/2018
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	2/12/2018
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/4/2010	1/27/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/4/2010	1/27/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/21/2011	6/5/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/20/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	6/5/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/21/2011	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	6/5/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/13/2018	2/28/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	2/28/2022
Active	Graham, Matthew B	640480	Agent - Health	2/28/2022
Active	Graham, Matthew B	640480	Agent - Life	2/28/2022
Inactive	North, Timothy Owen	514133	Agent - Health	10/30/2009	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	10/30/2009	4/13/2018