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DEPARTMENT OF INSURANCE
Affiliations
Name
ATS Group
DOIID
643274
NAIC NPN
8958953
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
11/1/2006
3/31/2008
Inactive
Resident
Agent
Health
11/1/2006
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
Aetna Health Inc.
300694
Agent - Health
11/9/2007
12/31/2007
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
3/31/2008
Inactive
Aetna Life Insurance Company
301140
Agent - Health
11/9/2007
3/31/2008
Inactive
Aetna Life Insurance Company
301140
Agent - Life
11/9/2007
3/31/2008
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
1/29/2007
4/11/2008
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
1/29/2007
4/11/2008
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
11/30/2006
3/31/2008
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
9/24/2007
3/31/2008
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
9/24/2007
3/31/2008
Inactive
Anthem Life Insurance Company
301209
Agent - Health
9/24/2007
3/31/2008
Inactive
Anthem Life Insurance Company
301209
Agent - Life
9/24/2007
3/31/2008
Inactive
Citizens Security Life Insurance Company
301257
Agent - Health
11/21/2006
3/31/2008
Inactive
Citizens Security Life Insurance Company
301257
Agent - Life
11/21/2006
3/31/2008
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/20/2006
3/31/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Health
2/21/2007
3/31/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
2/21/2007
3/31/2008
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
7/2/2007
3/31/2008
Inactive
Humana Insurance Company
301104
Agent - Health
7/2/2007
3/31/2008
Inactive
Humana Insurance Company
301104
Agent - Life
7/2/2007
3/31/2008
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
7/2/2007
3/31/2008
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
7/2/2007
3/31/2008
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
12/11/2006
3/31/2008
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
12/11/2006
3/31/2008
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Health
12/28/2006
3/31/2008
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Life
12/28/2006
3/31/2008
Inactive
Nassau Life Insurance Company of Texas
300872
Agent - Health
7/13/2007
3/31/2008
Inactive
Nassau Life Insurance Company of Texas
300872
Agent - Life
7/13/2007
3/31/2008
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
5/10/2007
3/31/2008
Inactive
Time Insurance Company
300683
Agent - Health
4/8/2007
3/31/2008
Inactive
Time Insurance Company
300683
Agent - Life
4/8/2007
3/31/2008
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Abboud, Najib A
637137
Agent - Health
11/1/2006
3/31/2008
Inactive
Abboud, Najib A
637137
Agent - Life
11/1/2006
3/31/2008
Inactive
Andrews, Mark S
623719
Agent - Health
2/5/2007
2/5/2007
Inactive
Andrews, Mark S
623719
Agent - Life
2/5/2007
2/5/2007
Inactive
Hahn, Shannon Lee
541480
Agent - Health
2/5/2007
3/31/2008
Inactive
Hahn, Shannon Lee
541480
Agent - Life
2/5/2007
3/31/2008
Inactive
Ledbetter, Shannon Bruce
329947
Agent - Health
2/5/2007
3/31/2008
Inactive
Ledbetter, Shannon Bruce
329947
Agent - Life
2/5/2007
3/31/2008
Inactive
Torgerson, James E
582851
Agent - Health
2/5/2007
3/31/2008
Inactive
Torgerson, James E
582851
Agent - Life
2/5/2007
3/31/2008
Inactive
Torgerson, Rowena
592394
Agent - Health
2/5/2007
3/31/2008
Inactive
Torgerson, Rowena
592394
Agent - Life
2/5/2007
3/31/2008
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