DEPARTMENT OF INSURANCE
Affiliations
NameDirect StmDOIID902637NAIC NPN17809824
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth12/29/20153/1/2021 
InactiveNon ResidentAgentLife12/29/20153/1/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAXA XL Insurance Company Americas300979Agent - Health8/1/20166/1/2018
InactiveAmerican General Life Insurance Company301585Agent - Health2/7/20163/1/2021
InactiveAmerican General Life Insurance Company301585Agent - Life2/7/20163/1/2021
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life3/17/20161/3/2017
InactiveChesapeake Life Insurance Company (The)301017Agent - Health1/20/20169/6/2018
InactiveChesapeake Life Insurance Company (The)301017Agent - Life1/20/20169/6/2018
InactiveColorado Bankers Life Insurance Company301845Agent - Health4/11/20167/18/2019
InactiveColorado Bankers Life Insurance Company301845Agent - Life4/11/20167/18/2019
InactiveFederal Insurance Company301144Agent - Health6/20/20193/1/2021
InactiveStandard Security Life Insurance Company of NY301487Agent - Health12/8/201612/26/2018
InactiveStandard Security Life Insurance Company of NY301487Agent - Life12/8/201612/26/2018
InactiveUnified Life Insurance Company543169Agent - Health2/10/20164/6/2018
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSkole, Jason Bennett 648238Agent - Health7/21/201612/31/2020
InactiveSkole, Jason Bennett 648238Agent - Life7/21/201612/31/2020
InactiveTobias, Michael Charles 596972Agent - Health12/29/20157/21/2016
InactiveTobias, Michael Charles 596972Agent - Life12/29/20157/21/2016

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