Agency Information

ONEMAIN ASSUR SERVICES LLC

Address:

3001 MEACHAM BLVD STE 100

FORT WORTH, TX 76137-4615

Phone

817-820-5019

URL:

Email:

oms_licensing_dept@omf.com

National Producer Number:

16175304

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Motor Club Agency	755768	05/20/2011	Active	05/20/2011	05/31/2026
Non-Res. Producer Firm	755767	05/20/2011	Active	05/20/2011	05/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	05/20/2011	Active	05/20/2011
Health	05/20/2011	Active	05/20/2011
Life	05/20/2011	Active	05/20/2011
Motor Club	05/20/2011	Active	05/20/2011
Property	05/20/2011	Active	05/20/2011

Company Name	Appointment Type	Status	Active Date
47
AMERICAN HEALTH AND LIFE INSURANCE COMPANY	Health	Active	09/27/2017
	Life	Active	09/27/2017
2389
Company Name	Appointment Type	Status	Active Date
AMERICAN TRAVELER MOTOR CLUB LLC (THE)	Motor Club	Active	05/16/2023
1283
Company Name	Appointment Type	Status	Active Date
TRITON INSURANCE COMPANY	Casualty	Active	09/27/2017
	Property	Active	09/27/2017

row(s) 1 - 5 of 5

Name	Association Type	Agent	Begin Date	End Date
BRENT KENNETH LOCHBAUM	Designated Resp Lic Prdcr	Yes	05/01/2020	-

1 - 1