DEPARTMENT OF INSURANCE

Affiliations

Name	Collett, John	DOIID	1228907	NAIC NPN	20457299

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Variable Life and Variable Annuities	6/26/2023	5/31/2025
Active	Resident	Agent	Life	9/22/2022	5/31/2025
Active	Resident	Agent	Health	9/22/2022	5/31/2025
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Banner Life Insurance Company	301696	Agent - Life	6/14/2023
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	12/19/2023
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/10/2023
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/10/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/19/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/19/2023
Active	NYLIFE Insurance Company of Arizona	301642	Agent - Life	6/27/2023
Active	New York Life Insurance Company	300431	Agent - Health	3/1/2023
Active	New York Life Insurance Company	300431	Agent - Life	3/1/2023
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Health	3/1/2023
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	3/1/2023
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	6/28/2023
Active	Penn Insurance and Annuity Company	300712	Agent - Life	10/20/2023
Active	Penn Mutual Life Insurance Company	301394	Agent - Life	10/20/2023
Active	Protective Life Insurance Company	300638	Agent - Health	8/3/2023
Active	Protective Life Insurance Company	300638	Agent - Life	8/3/2023
Active	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	8/3/2023
Active	Pruco Life Insurance Company	300954	Agent - Life	7/13/2023
Active	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	7/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	NYLIFE Securities, LLC	645470	Agent - Life	7/3/2023
Active	NYLIFE Securities, LLC	645470	Agent - Health	7/3/2023
Active	NYLIFE Securities, LLC	645470	Agent - Variable Life and Variable Annuities	7/3/2023