DEPARTMENT OF INSURANCE
Affiliations
NameCline III, Sidney LenDOIID728035NAIC NPN15762059
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife6/9/201011/1/2013 
InactiveResidentAgentProperty6/14/201111/1/2013 
InactiveResidentAgentCasualty6/14/201111/1/2013 
InactiveResidentAgentHealth6/9/201011/1/2013 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health1/26/20125/31/2012
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life1/26/20125/31/2012
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health6/9/20105/20/2011
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life6/9/20105/20/2011
InactiveAnthem Life Insurance Company301209Agent - Health7/1/201111/1/2013
InactiveAnthem Life Insurance Company301209Agent - Life7/1/201111/1/2013
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty11/30/201111/1/2013
InactiveState Automobile Mutual Insurance Company301824Agent - Property11/30/201111/1/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life7/1/201111/1/2013
InactiveDesignated Agent Company Inc.681257Agent - Health7/1/201111/1/2013
InactiveUSI Insurance Services National, Inc509421Agent - Life7/1/20112/13/2012
InactiveUSI Insurance Services National, Inc509421Agent - Health7/1/20112/13/2012

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