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DEPARTMENT OF INSURANCE
Affiliations
Name
Ballard, Lorenzo R
DOIID
910654
NAIC NPN
17886630
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
3/25/2016
12/31/2018
Inactive
Non Resident
Agent
Life
3/25/2016
12/31/2018
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
10/12/2017
12/31/2018
Inactive
Aetna Life Insurance Company
301140
Agent - Health
10/12/2017
12/31/2018
Inactive
Aetna Life Insurance Company
301140
Agent - Life
10/12/2017
12/31/2018
Inactive
American Financial Security Life Insurance Co.
301635
Agent - Health
10/4/2017
12/31/2018
Inactive
American General Life Insurance Company
301585
Agent - Health
9/8/2017
12/31/2018
Inactive
American General Life Insurance Company
301585
Agent - Life
9/8/2017
12/31/2018
Inactive
Coventry Health and Life Insurance Company
301771
Agent - Health
10/12/2017
12/31/2018
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
3/29/2016
12/31/2018
Inactive
Omaha Insurance Company
751908
Agent - Health
3/29/2016
12/31/2018
Inactive
Unified Life Insurance Company
543169
Agent - Health
8/29/2017
12/12/2017
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
3/29/2016
12/31/2018
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
3/29/2016
12/31/2018
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Life
4/23/2018
12/31/2018
Inactive
Health Plan Intermediaries Holdings
786463
Agent - Health
4/23/2018
12/31/2018
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