PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameLegacy Direct Benefits, LLCDOIID730974NAIC NPN15819457
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife6/23/20103/31/2012 
InactiveResidentAgentHealth6/23/20103/31/2012 
* 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
InactiveGerber Life Insurance Company300529Agent - Health7/22/20103/31/2012
InactiveGerber Life Insurance Company300529Agent - Life7/22/20103/31/2012
InactiveMidland National Life Insurance Company300923Agent - Health7/26/201011/23/2010
InactiveMidland National Life Insurance Company300923Agent - Life7/26/201011/23/2010
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCostellow, Caleb Allen 636588Agent - Health6/23/20103/31/2012
InactiveCostellow, Caleb Allen 636588Agent - Life6/23/20103/31/2012
InactiveCostellow, Glenda D 370200Agent - Health6/23/20103/31/2012
InactiveCostellow, Glenda D 370200Agent - Life6/23/20103/31/2012
InactiveCostellow, Wayburn Allen 347664Agent - Health6/23/20103/31/2012
InactiveCostellow, Wayburn Allen 347664Agent - Life6/23/20103/31/2012
InactiveShumate, Reginald L 743237Agent - Health6/2/20113/31/2012
InactiveShumate, Reginald L 743237Agent - Life6/2/20113/31/2012

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