DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Simplified Health Solutions	DOIID	839677	NAIC NPN	17228690

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/30/2014	3/31/2016
Inactive	Non Resident	Agent	Health	4/30/2014	3/31/2016
* 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	Colorado Bankers Life Insurance Company	301845	Agent - Health	9/24/2014	5/5/2015
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	9/24/2014	5/5/2015
Inactive	Unified Life Insurance Company	543169	Agent - Health	2/5/2015	5/2/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daub, Susan C	836095	Agent - Health	4/30/2014	7/31/2015
Inactive	Daub, Susan C	836095	Agent - Life	4/30/2014	7/31/2015
Inactive	Dezile, Allen	785238	Agent - Health	11/4/2015	3/31/2016
Inactive	Dezile, Allen	785238	Agent - Life	11/4/2015	3/31/2016