DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Boli Partner Fund LLC	DOIID	936976	NAIC NPN	18192556

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/14/2016		3/31/2026
Active	Non Resident	Agent	Life	11/14/2016		3/31/2026
* 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
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/7/2022
Active	Guardian Life Insurance Company of America	301316	Agent - Life	9/7/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/16/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/16/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Haines, Lon Philip	710968	Agent - Health	11/14/2016
Active	Haines, Lon Philip	710968	Agent - Life	11/14/2016
Active	Moore, Louis L	559939	Agent - Health	11/14/2016
Active	Moore, Louis L	559939	Agent - Life	11/14/2016