DEPARTMENT OF INSURANCE

Affiliations

Name	Mountain Financial Group Inc Dba	DOIID	718796	NAIC NPN	764551

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/4/2011	3/31/2017
Inactive	Non Resident	Agent	Life	12/10/2009	3/31/2017
* 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 Equity Investment Life Insurance Company	300389	Agent - Life	9/28/2010	2/27/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	10/4/2011	1/19/2016
Inactive	American General Life Insurance Company	301585	Agent - Life	4/24/2011	11/9/2012
Inactive	American National Insurance Company	301861	Agent - Health	7/26/2013	3/31/2017
Inactive	American National Insurance Company	301861	Agent - Life	7/26/2013	3/31/2017
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/3/2011	8/7/2013
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/3/2011	8/7/2013
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/27/2012	3/31/2017
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	1/30/2012	3/31/2017
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	1/30/2012	3/31/2017
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/28/2010	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	10/28/2010	10/4/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	3/16/2011	3/31/2017
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/10/2009	9/16/2016
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	1/13/2014	10/24/2016
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	1/13/2014	10/24/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/4/2013	3/31/2017
Inactive	Revol One Insurance Company	300681	Agent - Life	8/5/2011	9/19/2011
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	11/20/2013	1/12/2016
Inactive	Securian Life Insurance Company	300757	Agent - Life	6/6/2011	3/31/2017
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	2/20/2012	3/31/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/10/2012	1/15/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/10/2012	1/15/2016
Inactive	Vantis Life Insurance Company	572176	Agent - Life	5/24/2015	3/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ruplinger, Todd Robert	655760	Agent - Health	10/4/2011	3/31/2017
Inactive	Ruplinger, Todd Robert	655760	Agent - Life	12/10/2009	3/31/2017