DEPARTMENT OF INSURANCE
Affiliations
NameMortberg, Richard ErlandDOIID316059NAIC NPN396801
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentVariable Life and Variable Annuities   
InactiveResidentAgentLife6/14/201111/1/2012 
InactiveResidentAgentHealth6/14/201111/1/2012 
InactiveResidentAgentHealth Maintenance Organization10/3/19843/1/2001 
InactiveResidentAgentPrepaid Dental Plan7/8/19863/1/2001 
InactiveResidentLife & Health ConsultantNot Applicable7/21/19837/8/2003 
* 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
InactiveAll American Life Insurance Company300702Agent - Health7/21/199712/15/2002
InactiveAll American Life Insurance Company300702Agent - Life7/21/199712/15/2002
InactiveAllianz Life Insurance Company of North America301791Agent - Health12/5/199610/31/2010
InactiveAllianz Life Insurance Company of North America301791Agent - Life12/5/199610/31/2010
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life3/26/19993/10/2004
InactiveAmerican General Life Insurance Company301585Agent - Health2/15/20025/6/2009
InactiveAmerican General Life Insurance Company301585Agent - Life2/15/20025/6/2009
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities2/15/200210/31/2010
InactiveAmerican General Life and Accident Insurance Company301362Agent - Health3/5/200811/13/2009
InactiveAmerican General Life and Accident Insurance Company301362Agent - Life3/5/200811/13/2009
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20014/1/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization10/8/19873/1/2001
InactiveAnthem Life Insurance Company301209Agent - Health8/25/199910/31/2010
InactiveAnthem Life Insurance Company301209Agent - Life8/25/199910/31/2010
InactiveAthene Annuity & Life Assurance Company301798Agent - Health3/22/19994/29/2009
InactiveAthene Annuity & Life Assurance Company301798Agent - Life3/22/19994/29/2009
InactiveBanner Life Insurance Company301696Agent - Life8/24/20058/14/2009
InactiveBrighthouse Life Insurance Company301829Agent - Life12/7/20072/9/2010
InactiveCanada Life Assurance Company301192Agent - Health3/31/200112/14/2004
InactiveCanada Life Assurance Company301192Agent - Life3/31/200112/14/2004
InactiveCeltic Insurance Company300877Agent - Health6/19/19893/31/1997
InactiveCeltic Insurance Company300877Agent - Life6/19/19893/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Health4/11/19964/12/1999
InactiveChase Insurance Life and Annuity Company300518Agent - Life4/11/19964/12/1999
InactiveCigna National Health Insurance Company300235Agent - Health3/21/19953/31/1997
InactiveCigna National Health Insurance Company300235Agent - Life3/21/19953/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Health8/10/19923/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Life8/10/19923/31/1997
InactiveCompBenefits Dental, Inc.591692Agent - Health3/12/200910/31/2010
InactiveCompBenefits Insurance Company301864Agent - Health3/12/200910/31/2010
InactiveCompBenefits Insurance Company301864Agent - Life3/12/200910/31/2010
InactiveCompDent Corporation301387Agent - Health3/1/200112/23/2004
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan2/25/19883/1/2001
InactiveConseco Insurance Company301202Agent - Life4/5/199910/3/2003
InactiveConseco Medical Insurance Company300719Agent - Health1/23/199712/31/1998
InactiveConseco Medical Insurance Company300719Agent - Life1/23/199712/31/1998
InactiveContinental Casualty Company301019Agent - Health11/1/19826/12/2006
InactiveDearborn Life Insurance Company300401Agent - Health12/31/200412/30/2009
InactiveDearborn Life Insurance Company300401Agent - Life12/31/200412/30/2009
InactiveDental Concern Inc. (The)301641Agent - Health3/21/200910/31/2010
InactiveEquitable Financial Life Insurance Company300808Agent - Health6/19/20066/7/2007
InactiveEquitable Financial Life Insurance Company300808Agent - Life6/3/200810/31/2010
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities6/3/200810/31/2010
InactiveEquitable Financial Life Insurance Company of America301772Agent - Health12/10/200810/31/2010
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life12/10/200810/31/2010
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities8/10/20066/7/2007
InactiveEquitable Financial Life and Annuity Company301833Agent - Health1/9/19854/4/2001
InactiveEquitable Financial Life and Annuity Company301833Agent - Life1/9/19859/22/2002
InactiveFirst Colony Life Insurance Company301179Agent - Life1/30/19951/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health12/27/199912/26/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life12/27/199912/26/2008
InactiveGeneral American Life Insurance Company300280Agent - Health8/30/200212/31/2006
InactiveGeneral American Life Insurance Company300280Agent - Life8/30/200212/31/2006
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities8/30/200212/31/2006
InactiveGenworth Life Insurance Company300623Agent - Health9/27/200510/31/2010
InactiveGenworth Life Insurance Company300623Agent - Life11/15/199410/31/2010
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health5/26/200910/31/2010
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200710/31/2010
InactiveGolden Rule Insurance Company301943Agent - Health6/5/200810/31/2010
InactiveGolden Rule Insurance Company301943Agent - Life6/5/200810/31/2010
InactiveGuarantee Trust Life Insurance Company301043Agent - Health6/9/199712/31/1998
InactiveGuarantee Trust Life Insurance Company301043Agent - Life6/9/199712/31/1998
InactiveHartford Life Group Insurance Company301708Agent - Health3/25/200212/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life3/25/200212/31/2006
InactiveHartford Life and Accident Insurance Company300878Agent - Health4/15/200412/4/2009
InactiveHartford Life and Accident Insurance Company300878Agent - Life4/15/200412/4/2009
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/200110/31/2010
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization10/3/19843/1/2001
InactiveHumana Insurance Company301104Agent - Health12/20/199610/31/2010
InactiveHumana Insurance Company301104Agent - Life12/20/199610/31/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/29/200410/31/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/29/200410/31/2010
InactiveIL Annuity and Insurance Company300772Agent - Life7/1/19976/30/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Health10/1/19997/25/2002
InactiveIllinois Mutual Life Insurance Company301479Agent - Life10/1/19997/25/2002
InactiveIndianapolis Life Insurance Company301381Agent - Life6/30/20033/21/2005
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health7/9/20047/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life5/1/20047/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health3/15/19995/3/2005
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life3/15/19995/3/2005
InactiveJohn Alden Life Insurance Company300573Agent - Health2/19/200111/7/2002
InactiveJohn Alden Life Insurance Company300573Agent - Life2/19/200111/7/2002
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health4/20/200610/31/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life4/20/200610/31/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities4/20/200610/31/2010
InactiveKanawha Insurance Company300127Agent - Health4/11/200810/31/2010
InactiveKanawha Insurance Company300127Agent - Life4/11/200810/31/2010
InactiveLifeUSA Insurance Company300386Agent - Health12/5/19968/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life12/5/19968/2/2002
InactiveLincoln Benefit Life Company301110Agent - Health3/24/200610/31/2010
InactiveLincoln Benefit Life Company301110Agent - Life3/24/200610/31/2010
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities3/24/200610/31/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Health11/4/201111/1/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Life11/4/201111/1/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities6/29/200711/8/2010
InactiveManhattan National Life Insurance Company301011Agent - Health6/24/19943/31/1997
InactiveManhattan National Life Insurance Company301011Agent - Life6/24/19943/31/1997
InactiveMedical Life Insurance Company300693Agent - Health8/29/199512/31/2004
InactiveMedical Life Insurance Company300693Agent - Life8/29/199512/31/2004
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life6/9/200412/7/2007
InactiveMidland Life Insurance Company (The)300310Agent - Health6/3/19993/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life6/3/19993/31/2001
InactiveNorth American Company for Life and Health Insurance300291Agent - Life10/4/199910/18/2005
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health2/15/20023/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life2/15/20023/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Variable Life and Variable Annuities2/15/20023/31/2003
InactiveOrder of United Commercial Travelers of America301723Agent - Life9/3/19986/9/2000
InactivePacific Life Insurance Company301848Agent - Health11/10/19923/31/1997
InactivePacific Life Insurance Company301848Agent - Life11/10/19923/31/1997
InactivePaul Revere Life Insurance Company300971Agent - Health7/6/19998/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life7/6/19998/24/2000
InactivePrincipal Life Insurance Company300129Agent - Health1/7/199310/31/2010
InactivePrincipal Life Insurance Company300129Agent - Life8/27/201211/1/2012
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities5/10/200510/31/2010
InactiveProtective Life Insurance Company300638Agent - Health1/1/200712/30/2009
InactiveProtective Life Insurance Company300638Agent - Life1/1/200712/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/6/197710/24/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/6/197710/24/2003
InactivePruco Life Insurance Company300954Agent - Health11/27/200612/22/2008
InactivePruco Life Insurance Company300954Agent - Life11/27/200612/22/2008
InactivePrudential Insurance Company of America300784Agent - Health8/26/199912/17/2004
InactivePrudential Insurance Company of America300784Agent - Life8/26/199912/17/2004
InactiveReassure America Life Insurance Company301902Agent - Health9/24/19911/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life9/24/19911/2/2003
InactiveReliaStar Life Insurance Company301712Agent - Life12/19/20078/17/2009
InactiveShenandoah Life Insurance Company300130Agent - Health9/30/19833/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life9/30/19833/31/2009
InactiveState Life Insurance Company301497Agent - Health11/13/200610/31/2010
InactiveState Life Insurance Company301497Agent - Life11/13/200610/31/2010
InactiveTime Insurance Company300683Agent - Health3/29/199910/31/2010
InactiveTime Insurance Company300683Agent - Life3/29/199910/31/2010
InactiveTransamerica Assurance Company300893Agent - Health11/27/200210/1/2004
InactiveTransamerica Assurance Company300893Agent - Life11/27/200210/1/2004
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/200810/31/2010
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/200810/31/2010
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health11/5/197510/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life11/5/197510/1/2008
InactiveU.S. Financial Life Insurance Company301812Agent - Health3/11/19927/8/2005
InactiveU.S. Financial Life Insurance Company301812Agent - Life10/31/200510/3/2007
InactiveUnion Bankers Insurance Company301769Agent - Health11/3/19943/31/1997
InactiveUnion Bankers Insurance Company301769Agent - Life11/3/19943/31/1997
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Prepaid Dental Plan7/8/19863/1/2001
InactiveUnited of Omaha Life Insurance Company300156Agent - Health2/16/199410/31/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/23/200610/31/2010
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/9/199911/21/2005
InactiveUnitedHealthcare Insurance Company300946Agent - Life6/9/199911/21/2005
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health2/3/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life2/3/19953/31/1997
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/200111/21/2005
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization6/8/19993/1/2001
InactiveWashington National Insurance Company300587Agent - Health3/23/19933/31/1997
InactiveWashington National Insurance Company300587Agent - Life3/23/19933/31/1997
InactiveWest Coast Life Insurance Company301607Agent - Health9/30/20119/18/2012
InactiveWest Coast Life Insurance Company301607Agent - Life9/30/20119/18/2012
InactiveWestern National Life Insurance Company300461Agent - Life2/15/200211/30/2007
InactiveWilcac Life Insurance Company301573Agent - Health4/23/20036/12/2006
InactiveWilcac Life Insurance Company301573Agent - Life4/23/20036/12/2006
Inactive300277Agent - Health5/26/19991/1/2007
Inactive300277Agent - Life5/26/19991/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Life7/1/19932/28/2003
InactiveAcordia of Louisville Inc.401252Agent - Health7/1/19932/28/2003
InactiveArison Insurance Services, Inc.401001Agent - Life8/17/19996/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health8/17/19996/23/2008
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200110/31/2010
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
InactiveDesignated Agent Company Inc.681257Agent - Life6/24/200810/31/2010
InactiveDesignated Agent Company Inc.681257Agent - Health6/24/200810/31/2010
InactiveMoney Concepts International Inc656354Agent - Life10/14/200810/31/2010
InactiveMoney Concepts International Inc656354Agent - Health10/14/200810/31/2010

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