DEPARTMENT OF INSURANCE
Affiliations
NameFarnsworth, Wayne FDOIID1095060NAIC NPN513767
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities8/19/2024 5/31/2026
ActiveNon ResidentAgentLife8/19/2024 5/31/2026
ActiveNon ResidentAgentHealth8/19/2024 5/31/2026
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Life5/23/20247/24/2024
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities5/22/20247/24/2024
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/22/20223/22/2023
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/22/20223/22/2023
InactiveMinnesota Life Insurance Company300488Agent - Health11/19/20205/31/2024
InactiveMinnesota Life Insurance Company300488Agent - Life11/19/20205/31/2024
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities11/19/20205/31/2024
InactiveNationwide Life Insurance Company300495Agent - Health9/8/20205/31/2024
InactiveNationwide Life Insurance Company300495Agent - Life9/8/20205/31/2024
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities9/8/20205/31/2024
InactiveProtective Life Insurance Company300638Agent - Health9/8/202011/23/2021
InactiveProtective Life Insurance Company300638Agent - Life9/8/202011/23/2021
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities9/8/202011/23/2021
ActivePruco Life Insurance Company300954Agent - Life9/20/2024 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities9/20/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveExecutive Ins Agency Inc400244Agent - Variable Life and Variable Annuities9/10/20205/31/2024
InactiveExecutive Ins Agency Inc400244Agent - Life9/10/20205/31/2024
InactiveExecutive Ins Agency Inc400244Agent - Health9/10/20205/31/2024

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