DEPARTMENT OF INSURANCE

Affiliations

Name	Nsm Sales Corporation	DOIID	399627	NAIC NPN	953462

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	6/18/2018	3/31/2026
Active	Non Resident	Agent	Life	6/18/2018	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	9/23/2018
Denied	Anthem Life Insurance Company	301209	Agent - Health
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/28/1997	5/31/2004
Inactive	Canada Life Assurance Company	301192	Agent - Health	8/15/1996	11/26/2002
Inactive	Canada Life Assurance Company	301192	Agent - Life	8/15/1996	11/26/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/8/1997	4/27/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/8/1997	4/27/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Health	6/14/2006	3/31/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	6/14/2006	3/31/2008
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/19/1997	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/19/1997	3/12/2002
Active	National Guardian Life Insurance Company	300596	Agent - Health	9/30/2020
Active	Nationwide Life Insurance Company	300495	Agent - Health	8/12/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	8/12/2021
Active	Nippon Life Insurance Company of America	300446	Agent - Health	9/1/2018
Active	Nippon Life Insurance Company of America	300446	Agent - Life	9/1/2018
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	4/28/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	4/28/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/5/1996	12/28/1998
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	9/8/1997	3/31/2003
Inactive	Time Insurance Company	300683	Agent - Health	3/10/2000	5/31/2004
Inactive	Time Insurance Company	300683	Agent - Life	3/10/2000	5/31/2004
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	12/12/1997	6/6/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	12/12/1997	6/6/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cogen, Mark Z	388785	Agent - Health	10/20/1997	1/16/2002
Inactive	Cogen, Mark Z	388785	Agent - Life	10/20/1997	3/31/2003
Inactive	Fratianne, Dale John	603977	Agent - Health	5/9/2006	3/31/2008
Inactive	Fratianne, Dale John	603977	Agent - Life	5/9/2006	3/31/2008
Active	Goddard, Aaron Michael Charl	721235	Agent - Health	6/18/2018
Active	Goddard, Aaron Michael Charl	721235	Agent - Life	6/18/2018
Inactive	Kadlec, Gary Francis	389930	Agent - Health	4/29/1996	10/20/1997
Inactive	Kadlec, Gary Francis	389930	Agent - Life	4/29/1996	10/20/1997
Inactive	Keller, David Wayne	519568	Agent - Health	4/3/2001	5/31/2004
Inactive	Keller, David Wayne	519568	Agent - Life	4/3/2001	5/31/2004
Inactive	Reddy, Michael Sheridan	322307	Agent - Health	1/26/2000	12/21/2000
Inactive	Reddy, Michael Sheridan	322307	Agent - Life	1/26/2000	12/21/2000
Pending	Worrall, Donald Andrew	995484	Agent - Health
Pending	Worrall, Donald Andrew	995484	Agent - Life