DEPARTMENT OF INSURANCE

Affiliations

Name	Firstbank Insurance, Inc.	DOIID	757707	NAIC NPN	16178463

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/15/2018	3/31/2025
Active	Non Resident	Agent	Health	7/6/2011	3/31/2025
Active	Non Resident	Agent	Life	7/6/2011	3/31/2025
Active	Non Resident	Agent	Casualty	5/15/2018	3/31/2025
Denied	Non Resident	Agent	Personal Lines
Denied	Non Resident	Agent	Variable Life and Variable Annuities
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Banner Life Insurance Company	301696	Agent - Life	10/27/2014
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/5/2016
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/5/2016
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	6/8/2015	11/19/2015
Active	Oceanview Life and Annuity Company	301868	Agent - Life	10/23/2020
Active	Pacific Life Insurance Company	301848	Agent - Health	9/15/2013
Active	Pacific Life Insurance Company	301848	Agent - Life	9/15/2013
Active	Sagicor Life Insurance Company	300459	Agent - Life	2/10/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Herring, Geoffrey Robert	613781	Agent - Health
Inactive	Herring, Geoffrey Robert	613781	Agent - Life	8/26/2011	10/9/2013
Inactive	Melton, Kimberly Ann	754083	Agent - Health	8/11/2011	7/31/2013
Inactive	Melton, Kimberly Ann	754083	Agent - Life	8/11/2011	12/7/2012
Inactive	Melton, Kimberly Ann	754083	Agent - Variable Life and Variable Annuities	8/11/2011	8/21/2011
Denied	Reid, William W	653084	Agent - Health
Denied	Reid, William W	653084	Agent - Life
Denied	Reid, William W	653084	Agent - Variable Life and Variable Annuities
Inactive	Roberson, James Darren	622011	Agent - Health	10/9/2013	11/30/2016
Inactive	Roberson, James Darren	622011	Agent - Life	10/9/2013	11/30/2016
Active	Tweel, David S	991030	Agent - Casualty	5/15/2018
Active	Tweel, David S	991030	Agent - Property	5/15/2018
Active	Walker, Matthew C	944107	Agent - Health	2/7/2017
Active	Walker, Matthew C	944107	Agent - Life	2/7/2017