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DEPARTMENT OF INSURANCE
Affiliations
Name
ICL&H, Inc
DOIID
514100
NAIC NPN
2110834
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
2/25/2002
3/31/2008
Inactive
Non Resident
Agent
Life
2/25/2002
3/31/2008
* 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
Chase Insurance Life and Annuity Company
300518
Agent - Health
2/25/2002
4/9/2004
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
2/25/2002
4/9/2004
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
2/25/2002
11/21/2006
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
2/25/2002
11/21/2006
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Green, Joe Max
308878
Agent - Health
2/25/2002
3/31/2008
Inactive
Green, Joe Max
308878
Agent - Life
2/25/2002
3/31/2008
Inactive
Walters, James Allen
511143
Agent - Health
2/25/2002
2/24/2003
Inactive
Walters, James Allen
511143
Agent - Life
2/25/2002
2/24/2003
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