DEPARTMENT OF INSURANCE
Affiliations
NameIntelliquote Insurance Services LLCDOIID835620NAIC NPN17211822
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/10/2014 3/31/2026
ActiveNon ResidentAgentHealth3/10/2014 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health10/14/20144/4/2019
InactiveAmerican General Life Insurance Company301585Agent - Life10/14/20144/4/2019
ActiveBanner Life Insurance Company301696Agent - Life11/13/2015 
InactiveJackson National Life Insurance Company300486Agent - Life3/18/20166/26/2018
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health7/19/2017 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life7/19/2017 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/16/20155/22/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Life6/16/20155/22/2019
ActivePacific Life Insurance Company301848Agent - Life6/19/2018 
InactivePruco Life Insurance Company300954Agent - Life4/10/20157/24/2019
InactiveTransamerica Life Insurance Company300571Agent - Health11/3/20146/6/2019
InactiveTransamerica Life Insurance Company300571Agent - Life11/3/20146/6/2019
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/17/20146/6/2019
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/20186/6/2019
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/17/201412/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/20156/6/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGraham, Matthew B 640480Agent - Health4/9/2018 
ActiveGraham, Matthew B 640480Agent - Life4/9/2018 
InactiveLardy, Gary Richard 385607Agent - Health11/20/20142/15/2016
InactiveLardy, Gary Richard 385607Agent - Life11/20/20142/15/2016
InactiveNorth, Timothy Owen 514133Agent - Health3/10/201411/20/2014
InactiveNorth, Timothy Owen 514133Agent - Life3/10/201411/20/2014
InactiveRanger, Philip Dean 903707Agent - Health2/15/20164/4/2018
InactiveRanger, Philip Dean 903707Agent - Life2/15/20164/4/2018

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