DEPARTMENT OF INSURANCE
Affiliations
NameLee, David WilliamDOIID766499NAIC NPN15850130
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth7/10/201212/31/2014 
InactiveResidentAgentVariable Life and Variable Annuities2/27/201312/31/2014 
InactiveResidentAgentLife10/12/201112/31/2014 
ActiveNon ResidentStaff AdjusterProperty & Casualty4/27/2017 12/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican United Life Insurance Company300498Agent - Health8/7/20128/14/2014
InactiveAmerican United Life Insurance Company300498Agent - Life8/7/20128/14/2014
InactiveAmerican United Life Insurance Company300498Agent - Variable Life and Variable Annuities2/27/20135/31/2013
InactiveAnthem Life Insurance Company301209Agent - Health12/19/201312/31/2014
InactiveAnthem Life Insurance Company301209Agent - Life12/19/201312/31/2014
InactiveBanner Life Insurance Company301696Agent - Life4/2/201412/31/2014
InactivePioneer Mutual Life Insurance Company501695Agent - Health8/7/20128/14/2014
InactivePioneer Mutual Life Insurance Company501695Agent - Life8/7/20128/14/2014
InactivePrimerica Life Insurance Company300970Agent - Life10/19/201112/5/2012
InactiveState Life Insurance Company301497Agent - Health8/7/20128/14/2014
InactiveState Life Insurance Company301497Agent - Life8/7/20128/14/2014
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life10/7/201312/31/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life12/19/201312/31/2014
InactiveDesignated Agent Company Inc.681257Agent - Health12/19/201312/31/2014

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