DEPARTMENT OF INSURANCE

Affiliations

Name	Capital Ins Group LLC	DOIID	870669	NAIC NPN	17515397

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	3/2/2015	3/31/2027
Active	Non Resident	Agent	Health	3/2/2015	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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Health	2/16/2016
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	2/16/2016
Inactive	American Continental Insurance Company	643130	Agent - Life	5/16/2016	8/11/2021
Active	American Equity Investment Life Insurance Company	300389	Agent - Life	4/25/2019
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/8/2022	12/11/2023
Active	Atlantic Coast Life Insurance Company	642114	Agent - Health	10/4/2021
Active	Atlantic Coast Life Insurance Company	642114	Agent - Life	10/4/2021
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	1/4/2021	12/13/2023
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	1/4/2021	12/13/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	1/4/2021	12/13/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	1/4/2021	12/13/2023
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	7/13/2016
Active	Columbus Life Insurance Company	301227	Agent - Life	5/22/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/6/2019
Active	Guaranty Income Life Insurance Company	552451	Agent - Health	6/28/2022
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	6/28/2022
Inactive	KSKJ Life	775663	Agent - Life	8/14/2020	2/6/2025
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	10/23/2017	10/22/2020
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	3/28/2017	12/1/2021
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	8/25/2015	4/19/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	8/25/2015	4/19/2018
Inactive	Medico Insurance Company	301559	Agent - Health	8/25/2015	9/7/2018
Inactive	Medico Insurance Company	301559	Agent - Life	8/25/2015	9/7/2018
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/2/2019	8/24/2020
Active	Nassau Life and Annuity Company	513671	Agent - Life	11/15/2022
Active	North American Company for Life and Health Insurance	300291	Agent - Life	7/1/2018
Inactive	Reserve National Insurance Company	301073	Agent - Health	12/29/2015	1/3/2017
Inactive	Reserve National Insurance Company	301073	Agent - Life	12/29/2015	1/3/2017
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	8/8/2016	11/21/2017
Active	Sentinel Security Life Insurance Company	935789	Agent - Health	8/27/2020
Active	Sentinel Security Life Insurance Company	935789	Agent - Life	8/27/2020
Inactive	United World Life Insurance Company	300532	Agent - Health	10/2/2019	8/24/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/2/2019	8/24/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/2/2019	8/24/2020
Active	Western United Life Insurance Company	659052	Agent - Life	8/17/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Baldwin, Stephen Schoen	304762	Agent - Health	3/2/2015
Active	Baldwin, Stephen Schoen	304762	Agent - Life	3/2/2015