DEPARTMENT OF INSURANCE
Affiliations
NameBoehm, Mitchell JayDOIID1127517NAIC NPN17587612
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentLife4/1/2021 9/30/2024
Pending ReplacementNon ResidentAgentVariable Life and Variable Annuities4/1/2021 9/30/2024
Pending ReplacementNon ResidentAgentHealth4/1/2021 9/30/2024
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAmerican General Life Insurance Company301585Agent - Health3/11/2024 
Pending ReplacementAmerican General Life Insurance Company301585Agent - Life3/11/2024 
Pending ReplacementAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities3/11/2024 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/1/20217/29/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/1/20217/29/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/1/20217/29/2022
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life4/21/20217/29/2022
Pending ReplacementProtective Life Insurance Company300638Agent - Health4/5/2021 
Pending ReplacementProtective Life Insurance Company300638Agent - Life4/5/2021 
Pending ReplacementProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/5/2021 
Pending ReplacementTransamerica Life Insurance Company300571Agent - Life4/7/2021 
Pending ReplacementTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/7/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Life4/13/20218/1/2022
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Health4/13/20218/1/2022
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Variable Life and Variable Annuities4/13/20218/1/2022
Pending ReplacementMerrill Lynch Life Agency Inc.400527Agent - Life8/15/2022 
Pending ReplacementMerrill Lynch Life Agency Inc.400527Agent - Health8/15/2022 
Pending ReplacementMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities8/15/2022 

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