Individual Information

RONALD J LANE

PLANTATION, FL 33324-4469

Active

info@fairlanefinancial.com

06/11/1993

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	36205	10/01/2001	Active	10/01/2001	06/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Health	06/11/1993	Inactive	10/01/2001
Life	06/11/1993	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1320
CLEAR SPRING LIFE AND ANNUITY COMPANY	Life	Active	04/18/2012
239
Company Name	Appointment Type	Status	Active Date
FIDELITY & GUARANTY LIFE INSURANCE COMPANY	Life	Active	06/15/2017
1036
Company Name	Appointment Type	Status	Active Date
INTEGRITY LIFE INSURANCE COMPANY	Health	Active	11/28/2012
	Life	Active	05/10/2005
289
Company Name	Appointment Type	Status	Active Date
MASSMUTUAL ASCEND LIFE INSURANCE COMPANY	Health	Active	08/16/2001
	Life	Active	08/16/2001
457
Company Name	Appointment Type	Status	Active Date
NATIONAL WESTERN LIFE INSURANCE COMPANY	Life	Active	11/09/2000
473
Company Name	Appointment Type	Status	Active Date
NORTH AMERICAN COMPANY FOR LIFE & HEALTH INSURANCE	Life	Active	03/03/2002
564
Company Name	Appointment Type	Status	Active Date
RELIANCE STANDARD LIFE INSURANCE COMPANY	Health	Active	05/11/2000
	Life	Active	05/11/2000
577
Company Name	Appointment Type	Status	Active Date
ROYAL NEIGHBORS OF AMERICA	Life	Active	12/24/2015
596
Company Name	Appointment Type	Status	Active Date
SENTINEL SECURITY LIFE INSURANCE COMPANY	Health	Active	07/03/2019
	Life	Active	07/03/2019
1451
Company Name	Appointment Type	Status	Active Date
UPSTREAM LIFE INSURANCE COMPANY	Life	Active	06/25/2020

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
FAIRLANE FINANCIAL CORPORATION 55102	Designated Resp Lic Prdcr	Agency	09/16/2020	-

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