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	Life	8/4/2011		3/31/2027
Active	Non Resident	Agent	Health	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.

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	01/21/2025	01/21/2025	Yes

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