DEPARTMENT OF INSURANCE
Affiliations
NameBalik, David DOIID912380NAIC NPN16437954
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/11/20162/29/2020 
InactiveNon ResidentAgentLife4/11/20162/29/2020 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/13/20162/29/2020
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/13/20162/29/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUSI Insurance Services National, Inc509421Agent - Health4/13/20164/9/2019
InactiveUSI Insurance Services National, Inc509421Agent - Life4/13/20164/9/2019
InactiveUsi Insurance Services LLC669260Agent - Health12/27/20184/9/2019
InactiveUsi Insurance Services LLC669260Agent - Life12/27/20184/9/2019

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