DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lundsten, Raymond Stanley	DOIID	735485	NAIC NPN	974244

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/26/2010	1/31/2024
Inactive	Non Resident	Agent	Health	8/26/2010	1/31/2024
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/4/2010	3/1/2024
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/4/2010	3/1/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	11/23/2011	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	11/23/2011	10/9/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Life	1/10/2019	2/17/2023
Inactive	Usi Insurance Services LLC	669260	Agent - Health	1/10/2019	2/17/2023