DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Cl Equita Ins Services Inc	DOIID	730693	NAIC NPN	15483571

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/29/2010	3/31/2020
Inactive	Non Resident	Agent	Health	7/29/2010	3/31/2020
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	Gerber Life Insurance Company	300529	Agent - Health	8/31/2010	7/26/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/31/2010	7/26/2011
Inactive	Independent Order of Foresters	300743	Agent - Health	10/19/2011	3/31/2020
Inactive	Independent Order of Foresters	300743	Agent - Life	10/19/2011	3/31/2020
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/30/2010	12/26/2012
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	1/13/2011	5/27/2015
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	1/13/2011	5/27/2015
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	3/25/2011	11/5/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/30/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/30/2010	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/25/2011	6/21/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/25/2011	6/21/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brennan, Eric Francis	698453	Agent - Health	7/29/2010	3/31/2020
Inactive	Brennan, Eric Francis	698453	Agent - Life	7/29/2010	3/31/2020
Denied	Myer, Robert Lane	374502	Agent - Health
Denied	Myer, Robert Lane	374502	Agent - Life
Inactive	Wolfe, Richard Gary	331850	Agent - Health	7/29/2010	5/31/2018
Inactive	Wolfe, Richard Gary	331850	Agent - Life	7/29/2010	5/31/2018