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DEPARTMENT OF INSURANCE
Affiliations
Name
Performax Inc
DOIID
524975
NAIC NPN
3336253
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Non Resident
Administrator
Not Applicable
Inactive
Non Resident
Agent
Life
5/18/2010
9/10/2014
Inactive
Non Resident
Agent
Health
5/18/2010
9/10/2014
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Losel, Jenni
576159
Administrator - Not Applicable
Inactive
Losel, Jenni
576159
Agent - Health
5/18/2010
9/10/2014
Inactive
Losel, Jenni
576159
Agent - Life
5/18/2010
9/10/2014
Inactive
Nicholas, Louis Joseph
525197
Administrator - Not Applicable
7/19/2001
10/31/2003
Inactive
Rogers, Brian Michael
525200
Administrator - Not Applicable
7/19/2001
7/31/2004
Inactive
Sullivan, Keith Bryant
525198
Administrator - Not Applicable
7/19/2001
5/23/2008
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