DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross Jr, Frederick	DOIID	882334	NAIC NPN	17600580

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/3/2015		3/31/2026
Active	Non Resident	Agent	Health	7/3/2015		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
Inactive	American General Life Insurance Company	301585	Agent - Health	7/3/2015	12/21/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	7/3/2015	12/21/2020
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	7/10/2015	11/27/2019
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	7/10/2015	11/27/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/29/2024	6/5/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/12/2019	12/3/2019
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/27/2017	12/26/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/2/2021	6/17/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/2/2021	6/17/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Health	4/3/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/3/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	9/28/2022	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	9/28/2022	5/15/2024