Agency Information

HORACE MANN GENERAL AGENCY CORPORATION

1675 SOUTH STATE STREET STE. B

DOVER, DE 19901

217-789-2500

licensingandappointments@horacemann.com

1623165

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	3130628	12/31/2015	Active	12/31/2015	12/31/2027

Qualification Type	Original Issue Date	Status	Effective Date
Health	12/31/2015	Active	12/31/2015
Life	12/31/2015	Active	12/31/2015

Company Name	Appointment Type	Status	Active Date
1660
NATIONAL TEACHERS ASSOCIATES LIFE INSURANCE COMPANY	Health	Active	01/04/2016
	Life	Active	01/04/2016

row(s) 1 - 2 of 2

Name	Association Type	Agent	Begin Date	End Date
ALFRED T JONES	Designated Resp Lic Prdcr	Yes	10/06/2021	-
RICHARD WADE HOLLIDAY	Designated Resp Lic Prdcr	Yes	03/16/2020	-

1 - 2