DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mellberg, Joshua David	DOIID	726508	NAIC NPN	7683100

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/20/2015		1/31/2026
Active	Non Resident	Agent	Life	4/14/2010		1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/30/2014	9/2/2014
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	11/10/2014	12/15/2022
Active	American General Life Insurance Company	301585	Agent - Health	1/28/2016
Active	American General Life Insurance Company	301585	Agent - Life	5/25/2015
Active	American National Insurance Company	301861	Agent - Life	12/30/2015
Active	Athene Annuity and Life Company	301893	Agent - Life	7/16/2016
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	1/5/2015	10/9/2019
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/14/2015
Active	Forethought Life Insurance Company	301407	Agent - Life	9/11/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/11/2016	12/14/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	6/30/2011	4/2/2013
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	9/5/2012	1/3/2021
Active	Nassau Life and Annuity Company	513671	Agent - Life	2/10/2021
Inactive	National Western Life Insurance Company	301515	Agent - Life	12/3/2012	10/22/2019
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/10/2015	12/10/2018
Inactive	Pacific Life Insurance Company	301848	Agent - Health	5/21/2018	12/6/2019
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/21/2018	12/6/2019
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	3/22/2011	12/17/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allied Elite Financial, LLC	859326	Agent - Life	11/3/2014
Active	Allied Elite Financial, LLC	859326	Agent - Health	1/15/2016