DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	O Banion III, Melbourne	DOIID	984812	NAIC NPN	17164743

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	2/18/2019		10/31/2025
Active	Non Resident	Agent	Life	2/16/2018		10/31/2025
* 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	Tier One Insurance Company	301056	Agent - Life	4/26/2022	2/20/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bestow Agency LLC	949030	Agent - Life	11/27/2018
Active	Bestow Agency LLC	949030	Administrator - Not Applicable	5/10/2019
Active	Bestow Insurance Services LLC	1242792	Agent - Life	11/17/2022