DEPARTMENT OF INSURANCE

Affiliations

Name	Yates, Edith Bethany	DOIID	881558	NAIC NPN	17630525

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	10/26/2022	10/31/2026
Active	Resident	Agent	Health	10/26/2022	10/31/2026
Active	Resident	Agent	Variable Life and Variable Annuities	10/26/2022	10/31/2026
Active	Resident	Agent	Limited Line Credit	6/25/2015	10/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024	07/05/2024	07/05/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	7/1/2015	10/6/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority
Denied	Ubs Financial Services Ins Agency Inc	399373	Agent - Life
Denied	Ubs Financial Services Ins Agency Inc	399373	Agent - Health
Denied	Ubs Financial Services Ins Agency Inc	399373	Agent - Variable Life and Variable Annuities