DEPARTMENT OF INSURANCE
Affiliations
NameEquitable Senior Solutions LLCDOIID716964NAIC NPN15079776
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/30/2009 3/31/2027
ActiveNon ResidentAgentHealth10/30/2009 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life4/12/20112/11/2014
InactiveChesapeake Life Insurance Company (The)301017Agent - Health3/29/20192/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life3/29/20192/3/2025
InactiveForethought Life Insurance Company301407Agent - Health12/23/20101/31/2018
InactiveForethought Life Insurance Company301407Agent - Life12/23/20101/31/2018
InactiveGerber Life Insurance Company300529Agent - Health6/13/20222/7/2023
InactiveGerber Life Insurance Company300529Agent - Life6/13/20222/7/2023
InactiveLumico Life Insurance Company300354Agent - Life8/2/20209/13/2024
InactiveMutual of Omaha Insurance Company301012Agent - Health10/4/20101/27/2014
InactiveNassau Life Insurance Company of Kansas300667Agent - Health2/4/20213/20/2023
InactiveNational Western Life Insurance Company301515Agent - Life3/12/201310/29/2019
InactiveOmaha Insurance Company751908Agent - Health3/30/20121/27/2014
InactivePacifiCare Life and Health Insurance Company301304Agent - Health7/21/201110/28/2011
InactiveRoyal Neighbors of America301646Agent - Life1/23/20231/25/2023
InactiveSILAC Insurance Company300535Agent - Health10/10/20129/23/2013
InactiveSILAC Insurance Company300535Agent - Life10/10/20129/23/2013
ActiveSentinel Security Life Insurance Company935789Agent - Health2/12/2018 
ActiveSentinel Security Life Insurance Company935789Agent - Life2/12/2018 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/4/20101/27/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/4/20101/27/2014
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/21/20116/5/2019
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/11/201612/20/2018
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/20186/5/2019
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/21/201112/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/11/20156/5/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGraham, Mark Burnside 638756Agent - Health4/13/20182/28/2022
InactiveGraham, Mark Burnside 638756Agent - Life4/13/20182/28/2022
ActiveGraham, Matthew B 640480Agent - Health2/28/2022 
ActiveGraham, Matthew B 640480Agent - Life2/28/2022 
InactiveNorth, Timothy Owen 514133Agent - Health10/30/20094/13/2018
InactiveNorth, Timothy Owen 514133Agent - Life10/30/20094/13/2018

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