DEPARTMENT OF INSURANCE
Affiliations
NameDeisenroth, Keith DOIID303122NAIC NPN548146
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth9/15/19929/30/2018 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20019/30/2018 
InactiveNon ResidentAgentLife9/15/19929/30/2018 
* 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
InactiveC.M. Life Insurance Company301335Agent - Health3/24/19975/4/2017
InactiveC.M. Life Insurance Company301335Agent - Life3/24/19975/4/2017
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities5/31/20015/4/2017
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life4/15/20045/28/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities4/15/20045/28/2010
InactiveMML Bay State Life Insurance Company301198Agent - Health4/18/20003/18/2003
InactiveMML Bay State Life Insurance Company301198Agent - Life4/18/20003/18/2003
InactiveMML Bay State Life Insurance Company301198Agent - Variable Life and Variable Annuities4/5/20013/18/2003
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/15/19925/4/2017
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life9/15/19925/4/2017
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities5/31/20015/4/2017
InactiveUNUM Life Insurance Company of America300817Agent - Health8/7/200012/6/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life8/7/200012/6/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMML Insurance Agency LLC398679Agent - Life2/21/20055/4/2017
InactiveMML Insurance Agency LLC398679Agent - Health2/21/20055/4/2017
InactiveMML Insurance Agency LLC398679Agent - Variable Life and Variable Annuities2/21/20055/4/2017

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