DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ericson Sr, James K	DOIID	968629	NAIC NPN	7703804

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/20/2017		10/31/2026
Active	Non Resident	Agent	Life	9/20/2017		10/31/2026
* 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
Agent	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	BCS Insurance Company	300294	Agent - Health	9/21/2022
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	11/1/2017
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	11/1/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Group Benefits Ltd	654388	Agent - Life	8/23/2018	9/15/2025
Inactive	Group Benefits Ltd	654388	Agent - Health	8/23/2018	9/15/2025