DEPARTMENT OF INSURANCE
Affiliations
NameOtis, Jeffrey LeeDOIID787285NAIC NPN16740323
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife8/15/20122/1/2019 
InactiveResidentAgentHealth8/15/20122/1/2019 
* 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
InactiveBanner Life Insurance Company301696Agent - Life12/18/20138/4/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/5/201210/13/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life9/5/201210/13/2016
InactiveModern Woodmen of America301213Agent - Life7/16/201512/7/2016
InactivePruco Life Insurance Company300954Agent - Life2/4/201512/22/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life12/13/201312/22/2016
InactiveDesignated Agent Company Inc.681257Agent - Health12/13/201310/13/2016
InactiveMedlink Inc400721Agent - Life9/21/201212/22/2016
InactiveMedlink Inc400721Agent - Health9/21/201210/13/2016

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