DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Senior Commission Funding LLC DBA : XSR Insurance Agency Services LLC	DOIID	777300	NAIC NPN	16477510

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/1/2017		3/31/2026
Active	Non Resident	Agent	Life	11/1/2017		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Goldberg, Mark Harvey	667441	Agent - Health	3/1/2013	4/30/2013
Inactive	Goldberg, Mark Harvey	667441	Agent - Life	3/1/2013	4/30/2013
Active	Hensley, Steven Andrew	873190	Agent - Health	11/1/2017
Active	Hensley, Steven Andrew	873190	Agent - Life	11/1/2017
Inactive	Pitbladdo, Richard	667333	Agent - Health	3/5/2013	7/31/2017
Inactive	Pitbladdo, Richard	667333	Agent - Life	3/5/2013	7/31/2017