DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hart II, Marshall Frazee	DOIID	774568	NAIC NPN	16545414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/2/2012	9/1/2018
Inactive	Resident	Agent	Life	4/2/2012	9/1/2018
* 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
Inactive	Time Insurance Company	300683	Agent - Health	7/17/2012	6/26/2013
Inactive	Time Insurance Company	300683	Agent - Life	7/17/2012	6/26/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/2/2018	9/1/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/2/2018	9/1/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/2/2018	9/1/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/2/2018	9/1/2018
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	4/2/2012	7/9/2013
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	4/2/2012	7/9/2013
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	4/2/2012	7/9/2013
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	4/2/2012	7/9/2013
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	6/14/2013	4/8/2014
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	6/14/2013	4/8/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	10/1/2013	4/8/2014
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	10/1/2013	4/8/2014