DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Lori Ann	DOIID	889536	NAIC NPN	9417766

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/2/2015		8/31/2026
Active	Non Resident	Agent	Life	9/2/2015		8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Acrisure Texas Risk Advisors & Insurance Services, Llc	1250053	Agent - Life
Pending	Acrisure Texas Risk Advisors & Insurance Services, Llc	1250053	Agent - Health
Inactive	Ins & Bonds Agency Of Texas LLC	613865	Agent - Life	9/3/2015	2/20/2019
Inactive	Ins & Bonds Agency Of Texas LLC	613865	Agent - Health	9/3/2015	2/20/2019