DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Team Corp	DOIID	760045	NAIC NPN	16321933

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/4/2011		3/31/2027
Active	Non Resident	Agent	Life	8/4/2011		3/31/2027
* 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
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	10/31/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/1/2011	5/3/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/1/2011	5/3/2012
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	1/14/2016
Inactive	Time Insurance Company	300683	Agent - Health	11/29/2012	1/10/2013
Inactive	Time Insurance Company	300683	Agent - Life	11/29/2012	1/10/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Eichman, Joe M	705271	Agent - Health	12/21/2021
Active	Eichman, Joe M	705271	Agent - Life	12/21/2021
Inactive	Wood, Paul Daner	394034	Agent - Health	8/4/2011	9/30/2023
Inactive	Wood, Paul Daner	394034	Agent - Life	8/4/2011	9/30/2023