DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Designers Of America , LLC	DOIID	583874	NAIC NPN	7932569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/2/2004		3/31/2026
Inactive	Non Resident	Agent	Health	2/2/2004	2/23/2010
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	8/12/2010	12/6/2021
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/21/2009	7/10/2014
Active	Banner Life Insurance Company	301696	Agent - Life	9/28/2009
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/11/2008	3/14/2012
Inactive	Forethought Life Insurance Company	301407	Agent - Life	8/6/2019	5/28/2025
Active	Gerber Life Insurance Company	300529	Agent - Life	1/7/2013
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/14/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/14/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	2/23/2010
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/24/2009	2/23/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/24/2009	4/2/2025
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/7/2010	12/17/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/20/2007	2/23/2010
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/22/2012	3/10/2025
Active	Protective Life Insurance Company	300638	Agent - Life	9/15/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022	1/8/2025
Inactive	State Life Insurance Company	301497	Agent - Life	5/10/2010	5/23/2024
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	11/10/2006	9/20/2007
Inactive	United World Life Insurance Company	300532	Agent - Health	7/20/2007	2/23/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/20/2007	2/23/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/20/2007	1/27/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Imhoff, George William	619931	Agent - Health	2/19/2007	4/7/2008
Inactive	Imhoff, George William	619931	Agent - Life	2/19/2007	4/7/2008
Active	Jacobson, Nathan Sp	1201481	Agent - Life	6/1/2023
Inactive	Jeanes, Shawn Christopher	546821	Agent - Health	4/7/2008	2/23/2010
Inactive	Jeanes, Shawn Christopher	546821	Agent - Life	4/7/2008	12/31/2010
Inactive	Massey, Samuel E	558397	Agent - Life	9/15/2011	6/1/2023
Denied	Roberts, Gregory D	695857	Agent - Health
Inactive	Roberts, Gregory D	695857	Agent - Life	4/6/2010	9/15/2011