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DEPARTMENT OF INSURANCE
Affiliations
Name
Equitable Senior Solutions LLC
DOIID
716964
NAIC NPN
15079776
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
10/30/2009
3/31/2027
Active
Non Resident
Agent
Health
10/30/2009
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
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
4/12/2011
2/11/2014
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Health
3/29/2019
2/3/2025
Inactive
Chesapeake Life Insurance Company (The)
301017
Agent - Life
3/29/2019
2/3/2025
Inactive
Forethought Life Insurance Company
301407
Agent - Health
12/23/2010
1/31/2018
Inactive
Forethought Life Insurance Company
301407
Agent - Life
12/23/2010
1/31/2018
Inactive
Gerber Life Insurance Company
300529
Agent - Health
6/13/2022
2/7/2023
Inactive
Gerber Life Insurance Company
300529
Agent - Life
6/13/2022
2/7/2023
Inactive
Lumico Life Insurance Company
300354
Agent - Life
8/2/2020
9/13/2024
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
10/4/2010
1/27/2014
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Health
2/4/2021
3/20/2023
Inactive
National Western Life Insurance Company
301515
Agent - Life
3/12/2013
10/29/2019
Inactive
Omaha Insurance Company
751908
Agent - Health
3/30/2012
1/27/2014
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
7/21/2011
10/28/2011
Inactive
Royal Neighbors of America
301646
Agent - Life
1/23/2023
1/25/2023
Inactive
SILAC Insurance Company
300535
Agent - Health
10/10/2012
9/23/2013
Inactive
SILAC Insurance Company
300535
Agent - Life
10/10/2012
9/23/2013
Active
Sentinel Security Life Insurance Company
935789
Agent - Health
2/12/2018
Active
Sentinel Security Life Insurance Company
935789
Agent - Life
2/12/2018
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
10/4/2010
1/27/2014
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
10/4/2010
1/27/2014
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
7/21/2011
6/5/2019
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
9/11/2016
12/20/2018
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
7/15/2018
6/5/2019
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
7/21/2011
12/5/2016
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
9/11/2015
6/5/2019
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Graham, Mark Burnside
638756
Agent - Health
4/13/2018
2/28/2022
Inactive
Graham, Mark Burnside
638756
Agent - Life
4/13/2018
2/28/2022
Active
Graham, Matthew B
640480
Agent - Health
2/28/2022
Active
Graham, Matthew B
640480
Agent - Life
2/28/2022
Inactive
North, Timothy Owen
514133
Agent - Health
10/30/2009
4/13/2018
Inactive
North, Timothy Owen
514133
Agent - Life
10/30/2009
4/13/2018
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