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DEPARTMENT OF INSURANCE
Affiliations
Name
Direct Stm
DOIID
902637
NAIC NPN
17809824
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
12/29/2015
3/1/2021
Inactive
Non Resident
Agent
Life
12/29/2015
3/1/2021
* 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
AXA XL Insurance Company Americas
300979
Agent - Health
8/1/2016
6/1/2018
Inactive
American General Life Insurance Company
301585
Agent - Health
2/7/2016
3/1/2021
Inactive
American General Life Insurance Company
301585
Agent - Life
2/7/2016
3/1/2021
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
3/17/2016
1/3/2017
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
1/20/2016
9/6/2018
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
1/20/2016
9/6/2018
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Health
4/11/2016
7/18/2019
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Life
4/11/2016
7/18/2019
Inactive
Federal Insurance Company
301144
Agent - Health
6/20/2019
3/1/2021
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Health
12/8/2016
12/26/2018
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Life
12/8/2016
12/26/2018
Inactive
Unified Life Insurance Company
543169
Agent - Health
2/10/2016
4/6/2018
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Skole, Jason Bennett
648238
Agent - Health
7/21/2016
12/31/2020
Inactive
Skole, Jason Bennett
648238
Agent - Life
7/21/2016
12/31/2020
Inactive
Tobias, Michael Charles
596972
Agent - Health
12/29/2015
7/21/2016
Inactive
Tobias, Michael Charles
596972
Agent - Life
12/29/2015
7/21/2016
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