DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bestow Agency LLC	DOIID	949030	NAIC NPN	18355573

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	5/10/2019		3/31/2025
Active	Non Resident	Agent	Health	1/10/2019		3/31/2025
Active	Non Resident	Agent	Life	3/25/2017		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	01/15/2025	03/31/2025
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gerber Life Insurance Company	300529	Agent - Health	12/14/2022	6/25/2024
Inactive	Gerber Life Insurance Company	300529	Agent - Life	12/14/2022	6/25/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	7/20/2017	4/29/2024
Inactive	Tier One Insurance Company	301056	Agent - Health	4/26/2022	2/20/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	O Banion, Melbourne	984812	Administrator - Not Applicable	5/10/2019
Active	O Banion, Melbourne	984812	Agent - Life	11/27/2018
Inactive	Paschall, Hailey Marie	962140	Agent - Health	1/10/2019	8/16/2023
Inactive	Ross, Michael	844129	Administrator - Not Applicable	11/13/2017	11/27/2018
Inactive	Ross, Michael	844129	Agent - Health	3/25/2017	11/27/2018
Inactive	Ross, Michael	844129	Agent - Life	3/25/2017	11/27/2018
Active	Sandoval, Luziselda	527407	Agent - Health	8/30/2023
Denied	Sandoval, Luziselda	527407	Agent - Life
Denied	Wong, Kris	1146749	Agent - Health
Inactive	Wong, Kris	1146749	Agent - Life	10/11/2021	8/16/2023