DEPARTMENT OF INSURANCE
Affiliations
NameAmerican Fraternal Financial Serv IncDOIID559781NAIC NPN2518954
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife8/30/2024 3/31/2026
InactiveNon ResidentAgentHealth11/6/20024/2/2006 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health12/11/20027/26/2005
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life12/11/20027/26/2005
InactiveCentral States Health and Life Company of Omaha301874Agent - Health12/3/200210/31/2004
InactiveCentral States Health and Life Company of Omaha301874Agent - Life12/3/200210/31/2004
InactiveJohn Hancock Life Insurance Company300821Agent - Health3/15/20044/2/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Life3/15/20044/2/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health11/2/20044/2/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life11/2/20044/2/2006
InactiveMetLife Investors USA Insurance Company300845Agent - Health10/14/20054/2/2006
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/14/20054/2/2006
InactiveMetropolitan Life Insurance Company301948Agent - Health7/1/20034/2/2006
InactiveMetropolitan Life Insurance Company301948Agent - Life7/1/20034/2/2006
InactiveTime Insurance Company300683Agent - Health4/25/20035/18/2005
InactiveTime Insurance Company300683Agent - Life4/25/20035/18/2005
InactiveWorld Insurance Company300396Agent - Health12/2/200211/22/2004
InactiveWorld Insurance Company300396Agent - Life12/2/200211/22/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBrummet, Sherry Anne 556947Agent - Health12/6/200210/31/2004
InactiveBrummet, Sherry Anne 556947Agent - Life12/6/200210/31/2004
InactiveCooper, Fred Whitt 352485Agent - Life11/6/20022/9/2004
InactiveCotter-Anagnos, Karen Esther 556554Agent - Health11/6/20022/16/2006
InactiveCotter-Anagnos, Karen Esther 556554Agent - Life11/6/20022/16/2006
InactiveHughes, Ruth Anna 306540Agent - Health2/24/20032/9/2004
InactiveHughes, Ruth Anna 306540Agent - Life2/24/20032/9/2004
InactiveLawson, James D 366867Agent - Health11/6/20022/24/2003
InactiveLawson, James D 366867Agent - Life11/6/20022/24/2003
InactiveMcCulloch, Mark L 372533Agent - Health2/24/20032/9/2004
InactiveMcCulloch, Mark L 372533Agent - Life2/24/20032/9/2004
InactiveMetcalf, Michael Anthony 373021Agent - Health11/6/20022/9/2004
InactiveMetcalf, Michael Anthony 373021Agent - Life11/6/20022/9/2004
ActiveStoefen, Matthew A 1351507Agent - Life8/30/2024 
InactiveWalker, Amy L 560225Agent - Health2/24/20039/27/2005
InactiveWalker, Amy L 560225Agent - Life2/24/20039/27/2005

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