DEPARTMENT OF INSURANCE

Affiliations

Name	Agency Two Ins Marketing Group DBA : Agency ONE	DOIID	836207	NAIC NPN	15375006

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/20/2014	3/31/2026
Active	Non Resident	Agent	Health	3/20/2014	3/31/2026
Withdrawn	Non Resident	Managing General Agent	Not Applicable
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Banner Life Insurance Company	301696	Agent - Life	4/1/2014
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	12/1/2022
Active	Equitable Financial Life Insurance Company	300808	Agent - Health	2/1/2018
Active	Equitable Financial Life Insurance Company	300808	Agent - Life	2/1/2018
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Health	2/1/2018
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	2/1/2018
Active	Forethought Life Insurance Company	301407	Agent - Health	8/14/2019
Active	Forethought Life Insurance Company	301407	Agent - Life	8/14/2019
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/5/2014
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/5/2014
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/6/2016
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/6/2016
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	4/7/2016
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	4/7/2016
Active	Pacific Life Insurance Company	301848	Agent - Health	11/14/2019
Active	Pacific Life Insurance Company	301848	Agent - Life	11/14/2019
Active	Pruco Life Insurance Company	300954	Agent - Health	4/7/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022
Active	State Life Insurance Company	301497	Agent - Health	5/30/2016
Active	State Life Insurance Company	301497	Agent - Life	5/30/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bartos, Dennis Carl	533354	Agent - Health	3/20/2014
Active	Bartos, Dennis Carl	533354	Agent - Life	3/20/2014