DEPARTMENT OF INSURANCE
Affiliations
NameBlackburn, Jimmy RayDOIID310722NAIC NPN5332646
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth4/5/1995 4/30/2025
ActiveResidentAgentLife4/5/1995 4/30/2025
ActiveResidentAgentVariable Life and Variable Annuities5/31/2001 4/30/2025
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202504/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Health3/12/2013 
ActiveAllianz Life Insurance Company of North America301791Agent - Life9/30/2002 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/30/2002 
ActiveAmerican General Life Insurance Company301585Agent - Health10/14/2022 
ActiveAmerican General Life Insurance Company301585Agent - Life12/31/2012 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/31/2012 
ActiveBrighthouse Life Insurance Company301829Agent - Health11/1/2019 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/1/2019 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/1/2019 
InactiveC.M. Life Insurance Company301335Agent - Health3/24/19975/12/1997
InactiveC.M. Life Insurance Company301335Agent - Life3/24/19975/12/1997
ActiveCMFG Life Insurance Company300929Agent - Health9/26/2023 
ActiveCMFG Life Insurance Company300929Agent - Life9/26/2023 
ActiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities9/26/2023 
InactiveConnecticut General Life Insurance Company301333Agent - Health9/8/19974/16/2001
InactiveConnecticut General Life Insurance Company301333Agent - Life9/8/19974/16/2001
InactiveDelaware Life Insurance Company301256Agent - Life1/22/200711/21/2022
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities1/22/200711/21/2022
ActiveEagle Life Insurance Company701261Agent - Life3/20/2020 
InactiveEquitable Financial Life Insurance Company300808Agent - Life12/30/200411/7/2012
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities7/5/2022 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities7/5/2022 
InactiveEverlake Life Insurance Company300873Agent - Health1/1/20036/10/2011
ActiveEverlake Life Insurance Company300873Agent - Life8/1/2002 
ActiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities8/1/2002 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life10/5/2020 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Variable Life and Variable Annuities6/25/2024 
InactiveFirst Colony Life Insurance Company301179Agent - Life11/30/20061/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health1/28/199812/18/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life1/28/199812/18/2008
ActiveForethought Life Insurance Company301407Agent - Health3/16/2020 
ActiveForethought Life Insurance Company301407Agent - Life3/16/2020 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities3/16/2020 
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life2/4/201912/14/2022
InactiveGenworth Life Insurance Company300623Agent - Health12/15/19979/22/2009
InactiveGenworth Life Insurance Company300623Agent - Life12/15/19979/22/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health2/20/200212/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life2/20/200212/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities2/20/200212/7/2012
ActiveJackson National Life Insurance Company300486Agent - Life12/11/2009 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities12/11/2009 
InactiveJohn Hancock Life Insurance Company300821Agent - Health1/18/200712/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life4/6/20006/6/2005
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health2/21/201912/29/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life12/8/201712/29/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities12/8/201712/29/2020
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health5/22/200012/1/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life5/22/20006/6/2005
InactiveKeyport Life Insurance Company300319Agent - Life8/28/199711/18/2002
ActiveLincoln National Life Insurance Company (The)301382Agent - Health9/16/1997 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life9/16/1997 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities7/11/2001 
ActiveMEMBERS Life Insurance Company301289Agent - Health9/26/2023 
ActiveMEMBERS Life Insurance Company301289Agent - Life9/26/2023 
ActiveMEMBERS Life Insurance Company301289Agent - Variable Life and Variable Annuities9/26/2023 
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life10/2/200012/31/2001
ActiveMassMutual Ascend Life Insurance Company300320Agent - Life12/25/2023 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health4/15/19962/24/1997
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life4/15/19962/24/1997
InactiveMetLife Investors Insurance Company301872Agent - Health11/30/200511/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life11/30/200511/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities11/30/200511/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health11/10/200511/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/10/200511/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities11/10/200511/14/2014
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health2/17/20049/28/2006
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life2/17/20049/28/2006
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities2/17/20049/28/2006
InactiveMetropolitan Life Insurance Company301948Agent - Health9/26/20064/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life9/26/20064/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities9/26/20064/28/2018
ActiveMidland National Life Insurance Company300923Agent - Life6/15/2020 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities6/15/2020 
InactiveMinnesota Life Insurance Company300488Agent - Health3/21/19962/24/1997
InactiveMinnesota Life Insurance Company300488Agent - Life3/21/19962/24/1997
InactiveNationwide Life Insurance Company300495Agent - Health11/17/202112/12/2022
InactiveNationwide Life Insurance Company300495Agent - Life11/17/202112/12/2022
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities11/17/202112/12/2022
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health2/17/2023 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life2/17/2023 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities2/17/2023 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/3/2024 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities1/3/2024 
InactiveNorthbrook Life Insurance Company301020Agent - Health9/19/19971/1/2003
InactiveNorthbrook Life Insurance Company301020Agent - Life9/19/19971/1/2003
InactiveNorthbrook Life Insurance Company301020Agent - Variable Life and Variable Annuities3/19/20011/1/2003
ActivePacific Life Insurance Company301848Agent - Health11/27/2001 
InactivePacific Life Insurance Company301848Agent - Life11/27/20015/2/2023
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities11/27/20015/2/2023
InactiveProtective Life Insurance Company300638Agent - Health3/29/202211/23/2023
InactiveProtective Life Insurance Company300638Agent - Life3/29/202211/23/2023
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities3/29/202211/23/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Health5/11/202010/8/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Life5/11/202010/8/2021
ActivePruco Life Insurance Company300954Agent - Health9/11/2006 
ActivePruco Life Insurance Company300954Agent - Life9/11/2006 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities9/11/2006 
InactiveSecurity Life of Denver Insurance Company300648Agent - Life10/5/20009/27/2008
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health3/10/199712/30/1998
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life3/10/199712/30/1998
InactiveSouthland Life Insurance Company301175Agent - Life9/21/20009/17/2004
ActiveStandard Insurance Company300185Agent - Health8/4/2022 
ActiveStandard Insurance Company300185Agent - Life8/4/2022 
InactiveStarmount Life Insurance Company628031Agent - Health5/11/202010/8/2021
InactiveSun Life Assurance Company of Canada301811Agent - Life4/9/200911/16/2011
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life4/1/199712/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities12/18/200112/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Life12/31/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Variable Life and Variable Annuities12/31/201212/31/2012
ActiveSymetra Life Insurance Company301691Agent - Health6/17/2014 
ActiveSymetra Life Insurance Company301691Agent - Life6/17/2014 
ActiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities6/17/2014 
InactiveTalcott Resolution Life Insurance Company301759Agent - Health5/22/199611/20/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Life5/22/199611/20/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities5/31/200111/20/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/27/199711/20/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/27/199711/20/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities5/31/200111/20/2015
InactiveTransamerica Advisors Life Insurance Company300539Agent - Health9/22/20067/1/2019
InactiveTransamerica Advisors Life Insurance Company300539Agent - Life9/22/20067/1/2019
InactiveTransamerica Advisors Life Insurance Company300539Agent - Variable Life and Variable Annuities9/22/20067/1/2019
InactiveTransamerica Financial Life Insurance Company301288Agent - Life2/24/200911/21/2019
InactiveTransamerica Financial Life Insurance Company301288Agent - Variable Life and Variable Annuities2/24/200911/21/2019
ActiveTransamerica Life Insurance Company300571Agent - Health7/1/2019 
ActiveTransamerica Life Insurance Company300571Agent - Life1/28/2008 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities1/28/2008 
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life1/28/200810/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities1/28/200810/1/2008
InactiveUNUM Life Insurance Company of America300817Agent - Health5/11/202010/8/2021
InactiveUNUM Life Insurance Company of America300817Agent - Life5/11/202010/8/2021
InactiveUnum Insurance Company301499Agent - Health5/11/202010/8/2021
InactiveUnum Insurance Company301499Agent - Life5/11/202010/8/2021
InactiveVenerable Insurance and Annuity Company301006Agent - Health9/27/200612/10/2010
InactiveVenerable Insurance and Annuity Company301006Agent - Life7/17/20023/15/2010
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities7/17/20023/15/2010
InactiveWestern National Life Insurance Company300461Agent - Life10/15/200311/21/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveLPL FINANCIAL LLC399327Agent - Life5/21/19973/14/2003
InactiveLPL FINANCIAL LLC399327Agent - Health5/21/19973/14/2003
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life9/27/200610/18/2019
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health9/27/200610/18/2019
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities9/27/200610/18/2019
ActiveRaymond James Insurance Group, Inc.398342Agent - Life10/14/2019 
ActiveRaymond James Insurance Group, Inc.398342Agent - Health10/14/2019 
ActiveRaymond James Insurance Group, Inc.398342Agent - Variable Life and Variable Annuities10/14/2019 

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