DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	PSC Ins Marketing Corporation	DOIID	838063	NAIC NPN	16937265

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/10/2014		3/31/2026
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	4/28/2015
Active	Midland National Life Insurance Company	300923	Agent - Life	1/7/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Close, Allyn David	513472	Agent - Life	4/10/2014