DEPARTMENT OF INSURANCE

Affiliations

Name	Family Wealth Group	DOIID	760481	NAIC NPN	16337565

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	2/19/2019	3/31/2027
Active	Resident	Agent	Life	8/9/2011	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	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/12/2019
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/9/2011	6/16/2015
Inactive	American Continental Insurance Company	643130	Agent - Life	3/12/2019	8/11/2021
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	8/29/2011	4/16/2024
Active	American Life & Security Corp	1055058	Agent - Life	8/13/2024
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/17/2020	7/31/2023
Active	Aspida Life Insurance Company	301934	Agent - Life	8/5/2022
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	5/9/2013	8/13/2015
Active	Athene Annuity and Life Company	301893	Agent - Life	10/26/2018
Active	Atlantic Coast Life Insurance Company	642114	Agent - Life	2/16/2023
Active	Banner Life Insurance Company	301696	Agent - Life	7/18/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	1/21/2020	1/20/2023
Inactive	Clear Spring Life and Annuity Company	300919	Agent - Life	7/19/2019	11/22/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/12/2019
Active	Delaware Life Insurance Company	301256	Agent - Life	8/30/2011
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/14/2022	5/18/2023
Active	EquiTrust Life Insurance Company	502870	Agent - Life	5/27/2020
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/2/2013
Active	Guaranty Income Life Insurance Company	552451	Agent - Health	12/25/2022
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	12/25/2022
Inactive	Humana Insurance Company	301104	Agent - Health	7/30/2020	12/13/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/13/2021	7/31/2023
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	11/11/2018
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/31/2019
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/31/2019
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	2/7/2019	6/1/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/17/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/17/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/15/2019	5/18/2023
Active	MassMutual Ascend Life Insurance Company	300320	Agent - Life	9/1/2011
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/13/2017
Active	North American Company for Life and Health Insurance	300291	Agent - Life	8/24/2011
Active	Oceanview Life and Annuity Company	301868	Agent - Life	8/12/2020
Active	Pacific Guardian Life Insurance Co., Ltd.	1074040	Agent - Life	1/31/2023
Active	Penn Insurance and Annuity Company	300712	Agent - Life	8/8/2013
Active	Penn Mutual Life Insurance Company	301394	Agent - Life	8/8/2013
Active	Pruco Life Insurance Company	300954	Agent - Life	6/8/2023
Active	Sagicor Life Insurance Company	300459	Agent - Life	8/12/2024
Active	Security Benefit Life Insurance Company	300583	Agent - Life	8/24/2011
Active	Symetra Life Insurance Company	301691	Agent - Health	2/21/2023
Active	Symetra Life Insurance Company	301691	Agent - Life	2/21/2023
Active	Transamerica Life Insurance Company	300571	Agent - Life	12/21/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bentley, Donald Eugene	341378	Agent - Life	8/9/2011
Active	Culp, Tina Denise	630759	Agent - Health	1/20/2025
Active	Culp, Tina Denise	630759	Agent - Life	1/20/2025
Active	Lanham, Ashton	1107279	Agent - Health	1/20/2025
Active	Lanham, Ashton	1107279	Agent - Life	1/20/2025
Active	Lockett, Edward Matthew	723914	Agent - Health	1/20/2025
Active	Lockett, Edward Matthew	723914	Agent - Life	1/20/2025
Inactive	Metzler, Geoffrey Kevin	373752	Agent - Health	2/19/2019	5/11/2022
Inactive	Metzler, Geoffrey Kevin	373752	Agent - Life	8/9/2011	9/1/2018
Active	Millay, Sydney M	1122425	Agent - Health	1/20/2025
Active	Millay, Sydney M	1122425	Agent - Life	1/20/2025
Inactive	Montgomery , Vincent Conrad	944130	Agent - Health	3/16/2022	1/21/2025
Inactive	Montgomery , Vincent Conrad	944130	Agent - Life	3/16/2022	1/21/2025
Active	Sheppard, Jeff	845594	Agent - Life	3/16/2022
Active	Short, Jordan Riley	955450	Agent - Health	1/20/2025
Active	Short, Jordan Riley	955450	Agent - Life	1/20/2025