DEPARTMENT OF INSURANCE

Affiliations

Name	Dorsey, Seriozha Simone	DOIID	905961	NAIC NPN	17777112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/22/2025	2/28/2027
Active	Non Resident	Agent	Health	5/22/2025	2/28/2027
* 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	Accendo Insurance Company	300312	Agent - Health	4/11/2022	2/28/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	4/11/2022	2/28/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/11/2022	2/28/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	10/31/2016	3/30/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	10/31/2016	3/30/2022
Active	CMFG Life Insurance Company	300929	Agent - Life	10/9/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/11/2022	2/28/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/11/2022	2/28/2023
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/14/2020	3/14/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/22/2020	3/14/2022
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	12/16/2016	12/15/2021
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	12/16/2016	12/15/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/1/2019	4/13/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/12/2019	1/14/2022
Inactive	Omaha Insurance Company	751908	Agent - Health	10/28/2016	8/8/2018
Inactive	Pruco Life Insurance Company	300954	Agent - Life	11/7/2016	1/12/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/24/2017	1/26/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/24/2017	1/26/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	5/13/2020	1/14/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/27/2016	1/14/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/27/2016	1/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ethos Technologies Inc.	934675	Agent - Life	2/10/2026
Pending	Ethos Technologies Inc.	934675	Agent - Health