DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Zachary R	DOIID	724658	NAIC NPN	15590149

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/16/2010	7/17/2023
Inactive	Non Resident	Agent	Health	3/16/2010	7/17/2023
* 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 Heritage Life Insurance Company	300272	Agent - Health	2/25/2011	9/25/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	2/25/2011	9/25/2012
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	11/2/2011	7/17/2023
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	11/2/2011	7/17/2023
Inactive	Continental American Insurance Company	301700	Agent - Health	8/23/2011	6/30/2022
Inactive	Continental American Insurance Company	301700	Agent - Life	8/23/2011	6/30/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/17/2011	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/17/2011	12/8/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/31/2022	7/17/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/31/2022	7/17/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	4/5/2011	7/17/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/5/2011	7/17/2023
Inactive	Starmount Life Insurance Company	628031	Agent - Health	3/31/2022	7/17/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/27/2013	7/17/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/27/2013	7/17/2023
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/2/2010	9/5/2018
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/2/2010	9/5/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/31/2022	7/17/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/31/2022	7/17/2023
Inactive	Unum Insurance Company	301499	Agent - Health	3/31/2022	7/17/2023
Inactive	Unum Insurance Company	301499	Agent - Life	3/31/2022	7/17/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Custom Benefit Programs Inc	630774	Agent - Life	3/11/2020	7/17/2023
Inactive	Custom Benefit Programs Inc	630774	Agent - Health	3/11/2020	7/17/2023