DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	National Benefit Center	DOIID	771337	NAIC NPN	16404839

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/22/2011		3/31/2025
Active	Non Resident	Agent	Life	12/22/2011		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	Guardian Life Insurance Company of America	301316	Agent - Health	5/14/2015	6/16/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/14/2015	6/16/2022
Inactive	HM Life Insurance Company	301408	Agent - Health	6/18/2014	7/12/2023
Inactive	HM Life Insurance Company	301408	Agent - Life	6/18/2014	7/12/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/8/2012
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/8/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Braun, Perry Steven	1274755	Agent - Health	11/1/2023
Active	Braun, Perry Steven	1274755	Agent - Life	11/1/2023
Inactive	Oconnell, John F	390195	Agent - Health	12/22/2011	11/30/2023
Inactive	Oconnell, John F	390195	Agent - Life	12/22/2011	11/30/2023