DEPARTMENT OF INSURANCE
Affiliations
NameDisbrow, Douglas StevenDOIID1156362NAIC NPN19815673
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/2/2021 7/31/2024
ActiveNon ResidentAgentHealth9/2/2021 7/31/2024
ActiveNon ResidentAgentVariable Life and Variable Annuities9/2/2021 7/31/2024
* 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
Agent05/15/202407/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life1/10/2023 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities1/10/2023 
ActiveEmpower Annuity Insurance Company of America300259Agent - Life12/30/2022 
ActiveEmpower Annuity Insurance Company of America300259Agent - Variable Life and Variable Annuities12/30/2022 
InactiveFidelity Investments Life Insurance Company300620Agent - Life10/7/202111/7/2022
InactiveFidelity Investments Life Insurance Company300620Agent - Variable Life and Variable Annuities10/7/202111/7/2022
ActiveUSAA Life Insurance Company300734Agent - Life10/4/2021 
InactiveWestern-Southern Life Assurance Company301590Agent - Life10/12/202111/14/2022
InactiveWestern-Southern Life Assurance Company301590Agent - Variable Life and Variable Annuities10/12/202111/14/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFidelity Insurance Agency Inc.400221Agent - Life10/12/2021 
DeniedFidelity Insurance Agency Inc.400221Agent - Health  
InactiveFidelity Insurance Agency Inc.400221Agent - Variable Life and Variable Annuities10/12/202111/14/2022
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life12/29/20225/8/2024
DeniedMerrill Lynch Life Agency Inc.400527Agent - Health  
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities12/30/20225/8/2024

© Commonwealth of Kentucky. All rights reserved.