DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lifetime Wealth Design LLC	DOIID	818520	NAIC NPN	17047598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
* 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	American Equity Investment Life Insurance Company	300389	Agent - Life	8/1/2014	3/31/2017
Inactive	American General Life Insurance Company	301585	Agent - Health	10/28/2016	3/31/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	10/28/2016	3/31/2017
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/14/2020	3/31/2021
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/3/2019	5/10/2021
Inactive	Columbus Life Insurance Company	301227	Agent - Life	5/4/2015	3/31/2017
Inactive	Delaware Life Insurance Company	301256	Agent - Health	11/5/2019	3/31/2021
Inactive	Delaware Life Insurance Company	301256	Agent - Life	11/5/2019	3/31/2021
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	10/15/2019	3/31/2021
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/29/2021	3/31/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/6/2016	3/31/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/6/2016	3/31/2017
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	8/17/2020	3/31/2021
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	8/17/2020	3/31/2021
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	6/28/2021	3/31/2023
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	6/28/2021	3/31/2023
Inactive	Midland National Life Insurance Company	300923	Agent - Life	5/31/2015	4/24/2017
Inactive	National Western Life Insurance Company	301515	Agent - Life	11/27/2016	3/31/2017
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/4/2015	3/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Roberts, Kevin Neil	708888	Agent - Health
Denied	Roberts, Kevin Neil	708888	Agent - Life