Individual Information

BRENT KENNETH LOCHBAUM

Address:

FT WORTH, TX 76137-4615

Status:

Active

Email:

oms_licensing_dept@omf.com

Date:

06/22/2011

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	759813	06/22/2011	Active	06/22/2011	06/30/2026
Non-Res. Motor Club Agt/Agy	3183052	08/31/2016	Active	08/31/2016	08/31/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	06/22/2011	Active	06/22/2011
Health	06/22/2011	Active	06/22/2011
Life	06/22/2011	Active	06/22/2011
Motor Club	08/31/2016	Active	08/31/2016
Property	06/22/2011	Active	06/22/2011
Surety	06/22/2011	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
47
AMERICAN HEALTH AND LIFE INSURANCE COMPANY	Health	Active	09/27/2017
	Life	Active	09/27/2017
1283
Company Name	Appointment Type	Status	Active Date
TRITON INSURANCE COMPANY	Casualty	Active	09/27/2017
	Property	Active	09/27/2017

row(s) 1 - 4 of 4

Organization	Association Type	Type	Beg dte	End dte
ONEMAIN ASSUR SERVICES LLC	Designated Resp Lic Prdcr	Agency	05/01/2020	-

1 - 1