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DEPARTMENT OF INSURANCE
Affiliations
Name
Agency Four Ins Marketing Group LLC
DOIID
794526
NAIC NPN
16786816
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
7/8/2016
2/6/2020
Inactive
Non Resident
Agent
Life
12/28/2012
2/6/2020
Withdrawn
Non Resident
Managing General Agent
Not Applicable
* 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
Banner Life Insurance Company
301696
Agent - Life
10/11/2013
2/7/2018
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
7/8/2016
2/6/2020
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
5/24/2016
2/6/2020
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
5/30/2017
2/6/2020
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
5/30/2017
2/6/2020
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
4/7/2016
2/6/2020
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Hamm, William E
392731
Agent - Health
7/8/2016
2/6/2020
Inactive
Hamm, William E
392731
Agent - Life
12/28/2012
2/6/2020
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