DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Austin DOIID1052381NAIC NPN19262624
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife9/20/2019 3/31/2026
ActiveResidentAgentVariable Life and Variable Annuities9/20/2019 3/31/2026
ActiveResidentAgentHealth9/20/2019 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican General Life Insurance Company301585Agent - Health9/22/2023 
ActiveAmerican General Life Insurance Company301585Agent - Life9/22/2023 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities9/22/2023 
InactiveBrighthouse Life Insurance Company301829Agent - Health6/30/202110/9/2024
InactiveBrighthouse Life Insurance Company301829Agent - Life6/30/202110/9/2024
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities6/30/202110/9/2024
ActivePacific Life Insurance Company301848Agent - Health12/30/2024 
ActivePacific Life Insurance Company301848Agent - Life12/30/2024 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities12/30/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedBaird Insurance Services Inc399048Agent - Life  
DeniedBaird Insurance Services Inc399048Agent - Health  
DeniedBaird Insurance Services Inc399048Agent - Variable Life and Variable Annuities  

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