DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Joshua David Mellberg LLC	DOIID	859326	NAIC NPN	8771938

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/3/2014		3/31/2026
Active	Non Resident	Agent	Health	1/15/2016		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	Aetna Health and Life Insurance Company	300523	Agent - Health	7/16/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	7/16/2019	8/11/2021
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	7/31/2019	12/19/2022
Inactive	American National Insurance Company	301861	Agent - Health	3/21/2016	5/7/2021
Inactive	American National Insurance Company	301861	Agent - Life	3/21/2016	10/7/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/16/2019
Active	Delaware Life Insurance Company	301256	Agent - Health	2/16/2016
Active	Delaware Life Insurance Company	301256	Agent - Life	2/16/2016
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/5/2015
Active	Forethought Life Insurance Company	301407	Agent - Life	7/1/2015
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	3/11/2016	1/3/2021
Active	Nassau Life and Annuity Company	513671	Agent - Life	3/10/2020
Inactive	National Western Life Insurance Company	301515	Agent - Life	8/17/2015	10/22/2019
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/21/2015
Inactive	Pacific Life Insurance Company	301848	Agent - Life	8/4/2017	10/7/2019
Active	Sagicor Life Insurance Company	300459	Agent - Life	10/3/2022
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	2/25/2015	2/26/2020
Inactive	Standard Insurance Company	300185	Agent - Health	9/24/2020	11/4/2022
Inactive	Standard Insurance Company	300185	Agent - Life	9/24/2020	11/4/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	D Eredita, David Taylor	777484	Agent - Health	5/21/2018	6/1/2018
Inactive	D Eredita, David Taylor	777484	Agent - Life	5/21/2018	6/1/2018
Inactive	Dela Cerna, Mario Pazmino	775182	Agent - Life	7/21/2015	6/30/2016
Inactive	Matthew, Brent	731128	Agent - Life	7/21/2015	8/31/2016
Active	Mellberg, Joshua David	726508	Agent - Health	1/15/2016
Active	Mellberg, Joshua David	726508	Agent - Life	11/3/2014
Inactive	Morgan, Daniel Edward	906233	Agent - Health	7/20/2021	4/9/2024
Active	Morgan, Daniel Edward	906233	Agent - Life	5/28/2021
Inactive	Pallares, Marco Antonio	759408	Agent - Life	7/21/2015	5/31/2017
Denied	Riesgo, Kristin R	988119	Agent - Health
Denied	Riesgo, Kristin R	988119	Agent - Life
Denied	Velasquez, Kelley Eugene	799660	Agent - Life