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DEPARTMENT OF INSURANCE
Affiliations
Name
Blackburn, Jimmy Ray
DOIID
310722
NAIC NPN
5332646
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
4/30/2027
Active
Resident
Agent
Health
4/5/1995
4/30/2027
Active
Resident
Agent
Life
4/5/1995
4/30/2027
* 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
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
02/15/2025
04/30/2025
02/05/2025
02/05/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Allianz Life Insurance Company of North America
301791
Agent - Health
3/12/2013
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
9/30/2002
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
9/30/2002
Active
American General Life Insurance Company
301585
Agent - Health
10/14/2022
Active
American General Life Insurance Company
301585
Agent - Life
12/31/2012
Active
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
12/31/2012
Active
Brighthouse Life Insurance Company
301829
Agent - Health
11/1/2019
Active
Brighthouse Life Insurance Company
301829
Agent - Life
11/1/2019
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/1/2019
Inactive
C.M. Life Insurance Company
301335
Agent - Health
3/24/1997
5/12/1997
Inactive
C.M. Life Insurance Company
301335
Agent - Life
3/24/1997
5/12/1997
Active
CMFG Life Insurance Company
300929
Agent - Health
9/26/2023
Active
CMFG Life Insurance Company
300929
Agent - Life
9/26/2023
Active
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
9/26/2023
Inactive
Connecticut General Life Insurance Company
301333
Agent - Health
9/8/1997
4/16/2001
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
9/8/1997
4/16/2001
Inactive
Delaware Life Insurance Company
301256
Agent - Life
1/22/2007
11/21/2022
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
1/22/2007
11/21/2022
Active
Eagle Life Insurance Company
701261
Agent - Life
3/20/2020
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
12/30/2004
11/7/2012
Active
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
7/5/2022
Active
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
7/5/2022
Inactive
Everlake Life Insurance Company
300873
Agent - Health
1/1/2003
6/10/2011
Active
Everlake Life Insurance Company
300873
Agent - Life
8/1/2002
Active
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
8/1/2002
Active
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
10/5/2020
Active
Fidelity & Guaranty Life Insurance Company
301359
Agent - Variable Life and Variable Annuities
6/25/2024
Inactive
First Colony Life Insurance Company
301179
Agent - Life
11/30/2006
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
1/28/1998
12/18/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
1/28/1998
12/18/2008
Active
Forethought Life Insurance Company
301407
Agent - Health
3/16/2020
Active
Forethought Life Insurance Company
301407
Agent - Life
3/16/2020
Active
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
3/16/2020
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
2/4/2019
12/14/2022
Inactive
Genworth Life Insurance Company
300623
Agent - Health
12/15/1997
9/22/2009
Inactive
Genworth Life Insurance Company
300623
Agent - Life
12/15/1997
9/22/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
2/20/2002
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
2/20/2002
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
2/20/2002
12/7/2012
Active
Jackson National Life Insurance Company
300486
Agent - Life
12/11/2009
Active
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
12/11/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
1/18/2007
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
4/6/2000
6/6/2005
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
2/21/2019
12/29/2020
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
12/8/2017
12/29/2020
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
12/8/2017
12/29/2020
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Health
5/22/2000
12/1/2005
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
5/22/2000
6/6/2005
Inactive
Keyport Life Insurance Company
300319
Agent - Life
8/28/1997
11/18/2002
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
9/16/1997
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
9/16/1997
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
7/11/2001
Active
MEMBERS Life Insurance Company
301289
Agent - Health
9/26/2023
Active
MEMBERS Life Insurance Company
301289
Agent - Life
9/26/2023
Active
MEMBERS Life Insurance Company
301289
Agent - Variable Life and Variable Annuities
9/26/2023
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Life
10/2/2000
12/31/2001
Active
MassMutual Ascend Life Insurance Company
300320
Agent - Life
12/25/2023
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
4/15/1996
2/24/1997
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
4/15/1996
2/24/1997
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
11/30/2005
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
11/30/2005
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
11/30/2005
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
11/10/2005
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
11/10/2005
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
11/10/2005
11/14/2014
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Health
2/17/2004
9/28/2006
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
2/17/2004
9/28/2006
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Variable Life and Variable Annuities
2/17/2004
9/28/2006
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
9/26/2006
4/28/2018
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
9/26/2006
4/28/2018
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
9/26/2006
4/28/2018
Active
Midland National Life Insurance Company
300923
Agent - Life
6/15/2020
Active
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
6/15/2020
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
3/21/1996
2/24/1997
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
3/21/1996
2/24/1997
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
11/17/2021
12/12/2022
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
11/17/2021
12/12/2022
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
11/17/2021
12/12/2022
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
2/17/2023
12/18/2024
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
2/17/2023
12/18/2024
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
2/17/2023
12/18/2024
Active
New York Life Insurance and Annuity Corporation
300726
Agent - Life
1/3/2024
Active
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
1/3/2024
Inactive
Northbrook Life Insurance Company
301020
Agent - Health
9/19/1997
1/1/2003
Inactive
Northbrook Life Insurance Company
301020
Agent - Life
9/19/1997
1/1/2003
Inactive
Northbrook Life Insurance Company
301020
Agent - Variable Life and Variable Annuities
3/19/2001
1/1/2003
Inactive
Pacific Life Insurance Company
301848
Agent - Health
11/27/2001
1/3/2025
Inactive
Pacific Life Insurance Company
301848
Agent - Life
11/27/2001
5/2/2023
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
11/27/2001
5/2/2023
Inactive
Protective Life Insurance Company
300638
Agent - Health
3/29/2022
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Life
3/29/2022
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
3/29/2022
11/23/2023
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
5/11/2020
10/8/2021
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
5/11/2020
10/8/2021
Active
Pruco Life Insurance Company
300954
Agent - Health
9/11/2006
Active
Pruco Life Insurance Company
300954
Agent - Life
9/11/2006
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
9/11/2006
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
10/5/2000
9/27/2008
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
3/10/1997
12/30/1998
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
3/10/1997
12/30/1998
Inactive
Southland Life Insurance Company
301175
Agent - Life
9/21/2000
9/17/2004
Active
Standard Insurance Company
300185
Agent - Health
8/4/2022
Active
Standard Insurance Company
300185
Agent - Life
8/4/2022
Inactive
Starmount Life Insurance Company
628031
Agent - Health
5/11/2020
10/8/2021
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
4/9/2009
11/16/2011
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
4/1/1997
12/31/2012
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
12/18/2001
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
12/31/2012
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Variable Life and Variable Annuities
12/31/2012
12/31/2012
Active
Symetra Life Insurance Company
301691
Agent - Health
6/17/2014
Active
Symetra Life Insurance Company
301691
Agent - Life
6/17/2014
Active
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
6/17/2014
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
5/22/1996
11/20/2015
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
5/22/1996
11/20/2015
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
5/31/2001
11/20/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
3/27/1997
11/20/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
3/27/1997
11/20/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
5/31/2001
11/20/2015
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Health
9/22/2006
7/1/2019
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Life
9/22/2006
7/1/2019
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Variable Life and Variable Annuities
9/22/2006
7/1/2019
Inactive
Transamerica Financial Life Insurance Company
301288
Agent - Life
2/24/2009
11/21/2019
Inactive
Transamerica Financial Life Insurance Company
301288
Agent - Variable Life and Variable Annuities
2/24/2009
11/21/2019
Active
Transamerica Life Insurance Company
300571
Agent - Health
7/1/2019
Active
Transamerica Life Insurance Company
300571
Agent - Life
1/28/2008
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
1/28/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
1/28/2008
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
1/28/2008
10/1/2008
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
5/11/2020
10/8/2021
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
5/11/2020
10/8/2021
Active
United Life Insurance Company
664766
Agent - Life
1/27/2025
Inactive
Unum Insurance Company
301499
Agent - Health
5/11/2020
10/8/2021
Inactive
Unum Insurance Company
301499
Agent - Life
5/11/2020
10/8/2021
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
9/27/2006
12/10/2010
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
7/17/2002
3/15/2010
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
7/17/2002
3/15/2010
Inactive
Western National Life Insurance Company
300461
Agent - Life
10/15/2003
11/21/2006
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
LPL FINANCIAL LLC
399327
Agent - Life
5/21/1997
3/14/2003
Inactive
LPL FINANCIAL LLC
399327
Agent - Health
5/21/1997
3/14/2003
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Life
9/27/2006
10/18/2019
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Health
9/27/2006
10/18/2019
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Variable Life and Variable Annuities
9/27/2006
10/18/2019
Active
Raymond James Insurance Group, Inc.
398342
Agent - Life
10/14/2019
Active
Raymond James Insurance Group, Inc.
398342
Agent - Health
10/14/2019
Active
Raymond James Insurance Group, Inc.
398342
Agent - Variable Life and Variable Annuities
10/14/2019
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