DEPARTMENT OF INSURANCE
Affiliations
NameFord, Quenton DOIID1114302NAIC NPN19744726
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth5/6/2022 4/30/2026
ActiveResidentAgentVariable Life and Variable Annuities5/6/2022 4/30/2026
ActiveResidentAgentLife5/6/2022 4/30/2026
* 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
ActiveAllianz Life Insurance Company of North America301791Agent - Life5/12/2023 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities5/12/2023 
ActiveAmerican General Life Insurance Company301585Agent - Life7/10/2023 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities7/10/2023 
InactiveAmerican National Insurance Company301861Agent - Health6/14/20214/20/2022
InactiveAmerican National Insurance Company301861Agent - Life6/14/20214/20/2022
ActiveAthene Annuity and Life Company301893Agent - Life8/10/2023 
ActiveAthene Annuity and Life Company301893Agent - Variable Life and Variable Annuities8/10/2023 
ActiveBrighthouse Life Insurance Company301829Agent - Health6/7/2024 
ActiveBrighthouse Life Insurance Company301829Agent - Life6/7/2024 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities6/7/2024 
InactiveIllinois Mutual Life Insurance Company301479Agent - Health6/18/20215/1/2022
InactiveIllinois Mutual Life Insurance Company301479Agent - Life6/18/20215/1/2022
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health3/7/2024 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/7/2024 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/7/2024 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health7/10/2023 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life7/10/2023 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities7/10/2023 
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Health12/13/20211/11/2022
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Life12/13/20211/11/2022
ActivePacific Life Insurance Company301848Agent - Health5/12/2023 
ActivePacific Life Insurance Company301848Agent - Life5/12/2023 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities5/12/2023 
ActivePruco Life Insurance Company300954Agent - Life6/18/2024 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities6/18/2024 
InactiveThrivent Financial for Lutherans301101Agent - Health5/6/20224/20/2023
InactiveThrivent Financial for Lutherans301101Agent - Life5/6/20224/20/2023
InactiveThrivent Financial for Lutherans301101Agent - Variable Life and Variable Annuities5/6/20224/20/2023
ActiveTransamerica Life Insurance Company300571Agent - Life3/18/2024 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities3/18/2024 
ActiveWestern-Southern Life Assurance Company301590Agent - Life5/12/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveChase Insurance Agency, Inc.398324Agent - Life5/12/2023 
ActiveChase Insurance Agency, Inc.398324Agent - Health5/12/2023 
ActiveChase Insurance Agency, Inc.398324Agent - Variable Life and Variable Annuities5/12/2023 
InactiveTaylor County Ins Agency Inc400372Agent - Life6/18/202112/14/2021
InactiveTaylor County Ins Agency Inc400372Agent - Health6/18/202112/14/2021
InactiveThrivent Ins Agency Inc510973Agent - Life1/18/20225/1/2022
InactiveThrivent Ins Agency Inc510973Agent - Health1/18/20225/1/2022
InactiveThrivent Ins Agency Inc510973Agent - Variable Life and Variable Annuities1/18/20225/1/2022

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