DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Formidable Financial Services	DOIID	861987	NAIC NPN	17085774

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/25/2014		3/31/2026
Active	Non Resident	Agent	Life	11/25/2014		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	Integrity Life Insurance Company	301687	Agent - Life	9/7/2017
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	7/31/2015
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	7/31/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	11/25/2014	6/16/2021
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/25/2014	6/16/2021
Active	Principal Life Insurance Company	300129	Agent - Health	6/7/2018
Active	Principal Life Insurance Company	300129	Agent - Life	6/7/2018
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	9/12/2017
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	8/6/2015	7/5/2019
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	8/6/2015	7/5/2019
Inactive	Standard Insurance Company	300185	Agent - Health	11/12/2016	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	11/12/2016	12/5/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brown, William Bush	522662	Agent - Health	11/25/2014
Active	Brown, William Bush	522662	Agent - Life	11/25/2014