Agency Information

Concourse Financial Group Agency, Inc.

2801 HIGHWAY 280 SOUTH

BIRMINGHAM, AL 35223

800-288-3035

cfga_corp_licensing@concoursefinancial.com

2110556

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	19994	12/29/2005	Active	12/29/2005	12/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	12/29/2005	Active	12/29/2005
Life	12/29/2005	Active	12/29/2005

Company Name	Appointment Type	Status	Active Date
63
AMERICAN NATIONAL INSURANCE COMPANY	Life	Active	10/19/2017
283
Company Name	Appointment Type	Status	Active Date
BANNER LIFE INSURANCE COMPANY	Health	Active	05/11/2018
	Life	Active	04/14/2008
1025
Company Name	Appointment Type	Status	Active Date
FORETHOUGHT LIFE INSURANCE COMPANY	Health	Active	08/05/2019
	Life	Active	08/05/2019
275
Company Name	Appointment Type	Status	Active Date
GERBER LIFE INSURANCE COMPANY	Health	Active	07/26/2022
	Life	Active	07/26/2022
1036
Company Name	Appointment Type	Status	Active Date
INTEGRITY LIFE INSURANCE COMPANY	Life	Active	01/23/2023
1453
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE AND ANNUITY INSURANCE COMPANY	Health	Active	07/07/2021
	Life	Active	07/07/2021
473
Company Name	Appointment Type	Status	Active Date
NORTH AMERICAN COMPANY FOR LIFE & HEALTH INSURANCE	Life	Active	07/24/2023
567
Company Name	Appointment Type	Status	Active Date
OCEANVIEW LIFE AND ANNUITY COMPANY	Life	Active	08/17/2020
512
Company Name	Appointment Type	Status	Active Date
PACIFIC LIFE INSURANCE COMPANY	Health	Active	01/24/2016
	Life	Active	01/24/2016
549
Company Name	Appointment Type	Status	Active Date
PROTECTIVE LIFE INSURANCE COMPANY	Health	Active	07/05/2006
	Life	Active	07/05/2006
1059
Company Name	Appointment Type	Status	Active Date
STATE LIFE INSURANCE COMPANY	Health	Active	04/23/2007
	Life	Active	04/23/2007

row(s) 1 - 18 of 18

Name	Association Type	Agent	Begin Date	End Date
RACHEL TRACY SMITH	Designated Resp Lic Prdcr	Yes	01/14/2022	-

1 - 1