PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameChampion, Teresa GDOIID780277NAIC NPN16623080
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentHealth   
DeniedResidentAgentLife   
* 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
InactiveAmeritas Life Insurance Corporation300126Agent - Health12/31/201610/27/2021
InactiveAmeritas Life Insurance Corporation300126Agent - Life12/31/201610/27/2021
InactiveAssurity Life Insurance Company301099Agent - Health3/15/201512/18/2018
InactiveAssurity Life Insurance Company301099Agent - Life3/15/201512/18/2018
InactiveEverly Life Insurance Company561641Agent - Life12/4/201212/28/2016
InactiveOmaha Insurance Company751908Agent - Health10/19/20128/22/2013
InactiveReliance Standard Life Insurance Company300584Agent - Health1/20/20154/16/2015
InactiveReliance Standard Life Insurance Company300584Agent - Life1/20/20154/16/2015
InactiveSecurity Life Insurance Company of America300936Agent - Health4/7/201512/31/2016
InactiveSecurity Life Insurance Company of America300936Agent - Life4/7/201512/31/2016
InactiveTime Insurance Company300683Agent - Health10/15/201212/20/2014
InactiveTime Insurance Company300683Agent - Life10/15/201212/20/2014
InactiveWoodmen of the World Life Insurance Society301446Agent - Health9/26/20124/1/2022
InactiveWoodmen of the World Life Insurance Society301446Agent - Life6/4/20124/1/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveWoodmen Insurance Agency, Inc.579244Agent - Life10/19/20124/1/2022
InactiveWoodmen Insurance Agency, Inc.579244Agent - Health10/19/20124/1/2022

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