DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Entrust Product Solutions	DOIID	828022	NAIC NPN	16921743

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/20/2013	2/1/2018
Inactive	Non Resident	Agent	Life	11/20/2013	2/1/2018
* 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	Banner Life Insurance Company	301696	Agent - Health	6/28/2017	2/1/2018
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/28/2017	2/1/2018
Inactive	National Western Life Insurance Company	301515	Agent - Life	11/21/2013	2/1/2018
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/21/2015	4/10/2017
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	2/19/2017	2/1/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Honeysett, Michael A	543264	Agent - Health	11/20/2013	11/30/2017
Inactive	Honeysett, Michael A	543264	Agent - Life	11/20/2013	11/30/2017