DEPARTMENT OF INSURANCE

Affiliations

Name	Capital Ins Group LLC	DOIID	870669	NAIC NPN	17515397

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	3/2/2015	3/31/2025
Pending Replacement	Non Resident	Agent	Life	3/2/2015	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Allianz Life Insurance Company of North America	301791	Agent - Health	2/16/2016
Pending Replacement	Allianz Life Insurance Company of North America	301791	Agent - Life	2/16/2016
Inactive	American Continental Insurance Company	643130	Agent - Life	5/16/2016	8/11/2021
Pending Replacement	American Equity Investment Life Insurance Company	300389	Agent - Life	4/25/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/8/2022	12/11/2023
Pending Replacement	Atlantic Coast Life Insurance Company	642114	Agent - Health	10/4/2021
Pending Replacement	Atlantic Coast Life Insurance Company	642114	Agent - Life	10/4/2021
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	1/4/2021	12/13/2023
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	1/4/2021	12/13/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	1/4/2021	12/13/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	1/4/2021	12/13/2023
Pending Replacement	Clear Spring Life and Annuity Company	300919	Agent - Life	7/13/2016
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Pending Replacement	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/6/2019
Pending Replacement	Guaranty Income Life Insurance Company	552451	Agent - Health	6/28/2022
Pending Replacement	Guaranty Income Life Insurance Company	552451	Agent - Life	6/28/2022
Inactive	KSKJ Life	775663	Agent - Life	8/14/2020	2/6/2025
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	10/23/2017	10/22/2020
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	3/28/2017	12/1/2021
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	8/25/2015	4/19/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	8/25/2015	4/19/2018
Inactive	Medico Insurance Company	301559	Agent - Health	8/25/2015	9/7/2018
Inactive	Medico Insurance Company	301559	Agent - Life	8/25/2015	9/7/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/2/2019	8/24/2020
Pending Replacement	Nassau Life and Annuity Company	513671	Agent - Life	11/15/2022
Pending Replacement	North American Company for Life and Health Insurance	300291	Agent - Life	7/1/2018
Inactive	Reserve National Insurance Company	301073	Agent - Health	12/29/2015	1/3/2017
Inactive	Reserve National Insurance Company	301073	Agent - Life	12/29/2015	1/3/2017
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	8/8/2016	11/21/2017
Pending Replacement	Sentinel Security Life Insurance Company	935789	Agent - Health	8/27/2020
Pending Replacement	Sentinel Security Life Insurance Company	935789	Agent - Life	8/27/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	10/2/2019	8/24/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/2/2019	8/24/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/2/2019	8/24/2020
Pending Replacement	Western United Life Insurance Company	659052	Agent - Life	8/17/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Baldwin, Stephen Schoen	304762	Agent - Health	3/2/2015
Active	Baldwin, Stephen Schoen	304762	Agent - Life	3/2/2015