PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameAmerican Seniors Group, LLCDOIID773427NAIC NPN16520715
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife1/27/20122/6/2012 
InactiveResidentAgentHealth1/27/20122/6/2012 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveLoyal American Life Insurance Company301172Agent - Health2/3/20122/6/2012
InactiveUnited Teacher Associates Insurance Company300747Agent - Health2/3/20122/6/2012
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCostellow, Wayburn Allen 347664Agent - Health1/27/20122/6/2012
InactiveCostellow, Wayburn Allen 347664Agent - Life1/27/20122/6/2012

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