DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Prosummit Health And Life LLC	DOIID	880738	NAIC NPN	17561775

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/17/2015	7/1/2020
Inactive	Non Resident	Agent	Life	6/17/2015	7/1/2020
* 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	American National Insurance Company	301861	Agent - Health	7/7/2015	7/1/2020
Inactive	American National Insurance Company	301861	Agent - Life	7/7/2015	7/1/2020
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/22/2016	11/30/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/22/2016	11/30/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/11/2018	2/15/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/11/2018	2/15/2019
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	5/12/2016	7/1/2020
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	5/12/2016	7/1/2020
Inactive	Time Insurance Company	300683	Agent - Health	6/30/2015	11/15/2019
Inactive	Time Insurance Company	300683	Agent - Life	6/30/2015	11/15/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcclendon, Larry Gene	646804	Agent - Health	6/17/2015	9/28/2017
Inactive	Mcclendon, Larry Gene	646804	Agent - Life	6/17/2015	9/28/2017
Inactive	Thong, Sina	961856	Agent - Health	9/24/2017	4/30/2020
Inactive	Thong, Sina	961856	Agent - Life	9/24/2017	4/30/2020