DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Secure Prestige Partners LLC	DOIID	766097	NAIC NPN	16395794

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/7/2011		3/31/2025
Active	Non Resident	Agent	Life	10/7/2011		3/31/2025
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forethought Life Insurance Company	301407	Agent - Health	10/17/2011	6/5/2017
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/17/2011	6/5/2017
Inactive	Gerber Life Insurance Company	300529	Agent - Health	6/3/2013	8/13/2021
Inactive	Gerber Life Insurance Company	300529	Agent - Life	6/3/2013	8/13/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/5/2012	1/27/2014
Active	National Western Life Insurance Company	301515	Agent - Life	12/26/2011
Inactive	SILAC Insurance Company	300535	Agent - Health	10/10/2012	1/4/2022
Inactive	SILAC Insurance Company	300535	Agent - Life	10/10/2012	11/5/2020
Active	Sentinel Security Life Insurance Company	935789	Agent - Health	9/29/2017
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	9/29/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/5/2012	1/27/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/5/2012	1/27/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/10/2012	6/6/2019
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/15/2016	12/20/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	6/6/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/10/2012	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/12/2015	6/6/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/13/2018	4/7/2022
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	4/7/2022
Active	Graham, Matthew B	640480	Agent - Health	4/6/2022
Active	Graham, Matthew B	640480	Agent - Life	4/6/2022
Inactive	North, Timothy Owen	514133	Agent - Health	10/7/2011	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	10/7/2011	4/13/2018