DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Archer, Todd Edward	DOIID	835936	NAIC NPN	1231478

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/26/2022	7/31/2023
Inactive	Non Resident	Agent	Life	3/13/2014	7/13/2017
* 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	Fidelity Security Life Insurance Company	300466	Agent - Health	7/6/2015	7/13/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	7/6/2015	7/13/2017
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/17/2015	7/13/2017
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/1/2014	7/13/2017
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/5/2016	7/13/2017
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/5/2016	7/13/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/3/2015	7/13/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthsmart Benefit Solutions Inc	396190	Agent - Health	6/17/2015	7/13/2017
Inactive	Healthsmart Benefit Solutions Inc	396190	Agent - Life	7/6/2015	7/13/2017