DEPARTMENT OF INSURANCE

Affiliations

Name	Agency Two Ins Marketing Group DBA : Agency ONE	DOIID	836207	NAIC NPN	15375006

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	3/20/2014	3/31/2026
Active	Non Resident	Agent	Life	3/20/2014	3/31/2026
Withdrawn	Non Resident	Managing General Agent	Not Applicable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
Active	Banner Life Insurance Company	301696	Agent - Life	4/1/2014
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	12/1/2022
Active	Equitable Financial Life Insurance Company	300808	Agent - Health	2/1/2018
Active	Equitable Financial Life Insurance Company	300808	Agent - Life	2/1/2018
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Health	2/1/2018
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	2/1/2018
Active	Forethought Life Insurance Company	301407	Agent - Health	8/14/2019
Active	Forethought Life Insurance Company	301407	Agent - Life	8/14/2019
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/5/2014
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/5/2014
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/6/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/6/2016
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	4/7/2016
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/7/2016
Active	Pacific Life Insurance Company	301848	Agent - Health	11/14/2019
Active	Pacific Life Insurance Company	301848	Agent - Life	11/14/2019
Active	Pruco Life Insurance Company	300954	Agent - Health	4/7/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022
Active	State Life Insurance Company	301497	Agent - Health	5/30/2016
Active	State Life Insurance Company	301497	Agent - Life	5/30/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bartos, Dennis Carl	533354	Agent - Health	3/20/2014
Active	Bartos, Dennis Carl	533354	Agent - Life	3/20/2014