DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Concourse Distributors, Inc.	DOIID	1371564	NAIC NPN	21372834

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/11/2024		3/31/2028
Active	Non Resident	Agent	Health	11/11/2024		3/31/2028
* 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	Banner Life Insurance Company	301696	Agent - Life	7/31/2025
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/3/2026
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/3/2026
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	12/11/2025
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	12/11/2025
Active	Pruco Life Insurance Company	300954	Agent - Life	7/29/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Carlson, Martha Louisa Hart	1069618	Agent - Health	11/11/2024
Active	Carlson, Martha Louisa Hart	1069618	Agent - Life	11/11/2024