DEPARTMENT OF INSURANCE

Affiliations

Name	Tri-State Educators Ins & Financial Services LLC	DOIID	759025	NAIC NPN	16139701

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Variable Life and Variable Annuities
Inactive	Non Resident	Agent	Life	7/22/2011	3/31/2013
Inactive	Non Resident	Agent	Casualty	7/22/2011	3/31/2013
* 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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/7/2011	3/31/2013
Inactive	Horace Mann Insurance Company	301189	Agent - Casualty	7/28/2011	1/16/2012
Inactive	Horace Mann Life Insurance Company	300852	Agent - Life	7/28/2011	3/31/2013
Inactive	Horace Mann Property and Casualty Insurance Company	301968	Agent - Casualty	7/28/2011	1/16/2012
Inactive	Teachers Insurance Company	301839	Agent - Casualty	7/28/2011	1/16/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gilbert, William D	324073	Agent - Casualty	7/22/2011	3/31/2013
Inactive	Gilbert, William D	324073	Agent - Life	7/22/2011	3/31/2013