DEPARTMENT OF INSURANCE
Affiliations
NameAgent Distribution Center LLCDOIID598231NAIC NPN8304377
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/18/2005 3/31/2027
ActiveNon ResidentAgentHealth5/18/2005 3/31/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMutual of Omaha Insurance Company301012Agent - Health6/15/20051/27/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/15/20051/27/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/15/20051/27/2014
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBoesch, Kenneth W 510066Agent - Health5/18/20051/31/2010
InactiveBoesch, Kenneth W 510066Agent - Life5/18/20051/31/2010
InactiveGraham, Mark Burnside 638756Agent - Health4/12/201812/15/2021
InactiveGraham, Mark Burnside 638756Agent - Life4/12/201812/15/2021
ActiveGraham, Matthew B 640480Agent - Health10/29/2024 
ActiveGraham, Matthew B 640480Agent - Life10/29/2024 
InactiveNorth, Timothy Owen 514133Agent - Health4/23/20104/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life4/23/20104/13/2018
InactiveRamsey, Ryan 1002323Agent - Health12/15/202110/30/2024
InactiveRamsey, Ryan 1002323Agent - Life12/15/202110/30/2024

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