DEPARTMENT OF INSURANCE

Affiliations

Name	1st American Estate Planning LLC	DOIID	714528	NAIC NPN	10678673

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/29/2009	3/31/2027
Active	Non Resident	Agent	Life	9/29/2009	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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Life & Security Corp	1055058	Agent - Life	7/14/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	7/11/2016	12/28/2020
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/21/2015	12/28/2020
Active	Bankers Life and Casualty Company	300701	Agent - Health	7/10/2024
Active	Bankers Life and Casualty Company	300701	Agent - Life	7/10/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/6/2019	2/3/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/6/2019	2/3/2025
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/9/2024
Inactive	Gerber Life Insurance Company	300529	Agent - Health	1/5/2010	1/27/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Life	1/5/2010	1/27/2014
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/14/2020
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/14/2020
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/14/2011
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/14/2011
Active	Medco Containment Life Insurance Company	301557	Agent - Health	10/23/2023
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	1/21/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/21/2020
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	7/29/2010	11/3/2011
Active	Sagicor Life Insurance Company	300459	Agent - Life	11/8/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	9/16/2022
Active	United American Insurance Company	300910	Agent - Health	11/13/2023
Active	United American Insurance Company	300910	Agent - Life	11/13/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/29/2010
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/4/2022
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/4/2022	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/4/2022	12/17/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Graham, Mark Burnside	638756	Agent - Health	4/13/2018	11/9/2021
Inactive	Graham, Mark Burnside	638756	Agent - Life	4/13/2018	11/9/2021
Active	Graham, Matthew B	640480	Agent - Health	11/9/2021
Active	Graham, Matthew B	640480	Agent - Life	11/9/2021
Inactive	North, Timothy Owen	514133	Agent - Health	9/29/2009	4/13/2018
Inactive	North, Timothy Owen	514133	Agent - Life	9/29/2009	4/13/2018