DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stm Mass Nexus	DOIID	905103	NAIC NPN	17834630

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/28/2016	3/31/2018
Inactive	Non Resident	Agent	Life	1/28/2016	3/31/2018
* 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	3/3/2016	3/31/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	3/3/2016	3/31/2018
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/21/2016	12/1/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/29/2016	3/31/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	2/29/2016	3/31/2018
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	3/31/2016	3/31/2018
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	3/31/2016	3/31/2018
Inactive	Unified Life Insurance Company	543169	Agent - Health	2/18/2016	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	3/31/2018
Inactive	Skole, Jason Bennett	648238	Agent - Life	7/21/2016	3/31/2018
Inactive	Tobias, Michael Charles	596972	Agent - Health	1/28/2016	7/21/2016
Inactive	Tobias, Michael Charles	596972	Agent - Life	1/28/2016	7/21/2016