DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Merrell, Ember	DOIID	820360	NAIC NPN	3946981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/11/2013		5/31/2026
Active	Non Resident	Agent	Health	9/11/2013		5/31/2026
* 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
Active	HCC Life Insurance Company	301827	Agent - Health	12/21/2022
Active	Symetra Life Insurance Company	301691	Agent - Health	12/9/2014
Active	Symetra Life Insurance Company	301691	Agent - Life	12/9/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits LLC	607080	Agent - Health	1/15/2019
Active	Mercer Health & Benefits LLC	607080	Agent - Life	1/15/2019