DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Lucero, Carlos R	DOIID	835575	NAIC NPN	9325936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/9/2014	10/31/2016
* 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 General Life Insurance Company	301585	Agent - Life	5/6/2016	10/31/2016
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/26/2014	10/31/2016
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/28/2014	10/31/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Life	9/18/2014	10/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crump Life Insurance Services LLC	505491	Agent - Life	2/10/2016	10/31/2016