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DEPARTMENT OF INSURANCE
Affiliations
Name
Mortberg, Richard Erland
DOIID
316059
NAIC NPN
396801
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Resident
Agent
Variable Life and Variable Annuities
Inactive
Resident
Agent
Life
6/14/2011
11/1/2012
Inactive
Resident
Agent
Health
6/14/2011
11/1/2012
Inactive
Resident
Agent
Health Maintenance Organization
10/3/1984
3/1/2001
Inactive
Resident
Agent
Prepaid Dental Plan
7/8/1986
3/1/2001
Inactive
Resident
Life & Health Consultant
Not Applicable
7/21/1983
7/8/2003
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
All American Life Insurance Company
300702
Agent - Health
7/21/1997
12/15/2002
Inactive
All American Life Insurance Company
300702
Agent - Life
7/21/1997
12/15/2002
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
12/5/1996
10/31/2010
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
12/5/1996
10/31/2010
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
3/26/1999
3/10/2004
Inactive
American General Life Insurance Company
301585
Agent - Health
2/15/2002
5/6/2009
Inactive
American General Life Insurance Company
301585
Agent - Life
2/15/2002
5/6/2009
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
2/15/2002
10/31/2010
Inactive
American General Life and Accident Insurance Company
301362
Agent - Health
3/5/2008
11/13/2009
Inactive
American General Life and Accident Insurance Company
301362
Agent - Life
3/5/2008
11/13/2009
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
3/1/2001
4/1/2002
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health Maintenance Organization
10/8/1987
3/1/2001
Inactive
Anthem Life Insurance Company
301209
Agent - Health
8/25/1999
10/31/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Life
8/25/1999
10/31/2010
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
3/22/1999
4/29/2009
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
3/22/1999
4/29/2009
Inactive
Banner Life Insurance Company
301696
Agent - Life
8/24/2005
8/14/2009
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/7/2007
2/9/2010
Inactive
Canada Life Assurance Company
301192
Agent - Health
3/31/2001
12/14/2004
Inactive
Canada Life Assurance Company
301192
Agent - Life
3/31/2001
12/14/2004
Inactive
Celtic Insurance Company
300877
Agent - Health
6/19/1989
3/31/1997
Inactive
Celtic Insurance Company
300877
Agent - Life
6/19/1989
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
4/11/1996
4/12/1999
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
4/11/1996
4/12/1999
Inactive
Cigna National Health Insurance Company
300235
Agent - Health
3/21/1995
3/31/1997
Inactive
Cigna National Health Insurance Company
300235
Agent - Life
3/21/1995
3/31/1997
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Health
8/10/1992
3/31/1997
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
8/10/1992
3/31/1997
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
3/12/2009
10/31/2010
Inactive
CompBenefits Insurance Company
301864
Agent - Health
3/12/2009
10/31/2010
Inactive
CompBenefits Insurance Company
301864
Agent - Life
3/12/2009
10/31/2010
Inactive
CompDent Corporation
301387
Agent - Health
3/1/2001
12/23/2004
Inactive
CompDent Corporation
301387
Agent - Prepaid Dental Plan
2/25/1988
3/1/2001
Inactive
Conseco Insurance Company
301202
Agent - Life
4/5/1999
10/3/2003
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
1/23/1997
12/31/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
1/23/1997
12/31/1998
Inactive
Continental Casualty Company
301019
Agent - Health
11/1/1982
6/12/2006
Inactive
Dearborn Life Insurance Company
300401
Agent - Health
12/31/2004
12/30/2009
Inactive
Dearborn Life Insurance Company
300401
Agent - Life
12/31/2004
12/30/2009
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
10/31/2010
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Health
6/19/2006
6/7/2007
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
6/3/2008
10/31/2010
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
6/3/2008
10/31/2010
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Health
12/10/2008
10/31/2010
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
12/10/2008
10/31/2010
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
8/10/2006
6/7/2007
Inactive
Equitable Financial Life and Annuity Company
301833
Agent - Health
1/9/1985
4/4/2001
Inactive
Equitable Financial Life and Annuity Company
301833
Agent - Life
1/9/1985
9/22/2002
Inactive
First Colony Life Insurance Company
301179
Agent - Life
1/30/1995
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
12/27/1999
12/26/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
12/27/1999
12/26/2008
Inactive
General American Life Insurance Company
300280
Agent - Health
8/30/2002
12/31/2006
Inactive
General American Life Insurance Company
300280
Agent - Life
8/30/2002
12/31/2006
Inactive
General American Life Insurance Company
300280
Agent - Variable Life and Variable Annuities
8/30/2002
12/31/2006
Inactive
Genworth Life Insurance Company
300623
Agent - Health
9/27/2005
10/31/2010
Inactive
Genworth Life Insurance Company
300623
Agent - Life
11/15/1994
10/31/2010
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
5/26/2009
10/31/2010
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
10/31/2010
Inactive
Golden Rule Insurance Company
301943
Agent - Health
6/5/2008
10/31/2010
Inactive
Golden Rule Insurance Company
301943
Agent - Life
6/5/2008
10/31/2010
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
6/9/1997
12/31/1998
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
6/9/1997
12/31/1998
Inactive
Hartford Life Group Insurance Company
301708
Agent - Health
3/25/2002
12/31/2006
Inactive
Hartford Life Group Insurance Company
301708
Agent - Life
3/25/2002
12/31/2006
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
4/15/2004
12/4/2009
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
4/15/2004
12/4/2009
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
10/31/2010
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
10/3/1984
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
12/20/1996
10/31/2010
Inactive
Humana Insurance Company
301104
Agent - Life
12/20/1996
10/31/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/29/2004
10/31/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/29/2004
10/31/2010
Inactive
IL Annuity and Insurance Company
300772
Agent - Life
7/1/1997
6/30/2003
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
10/1/1999
7/25/2002
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
10/1/1999
7/25/2002
Inactive
Indianapolis Life Insurance Company
301381
Agent - Life
6/30/2003
3/21/2005
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
7/9/2004
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
5/1/2004
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
3/15/1999
5/3/2005
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
3/15/1999
5/3/2005
Inactive
John Alden Life Insurance Company
300573
Agent - Health
2/19/2001
11/7/2002
Inactive
John Alden Life Insurance Company
300573
Agent - Life
2/19/2001
11/7/2002
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
4/20/2006
10/31/2010
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
4/20/2006
10/31/2010
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
4/20/2006
10/31/2010
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/11/2008
10/31/2010
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/11/2008
10/31/2010
Inactive
LifeUSA Insurance Company
300386
Agent - Health
12/5/1996
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
12/5/1996
8/2/2002
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
3/24/2006
10/31/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
3/24/2006
10/31/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
3/24/2006
10/31/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
11/4/2011
11/1/2012
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
11/4/2011
11/1/2012
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
6/29/2007
11/8/2010
Inactive
Manhattan National Life Insurance Company
301011
Agent - Health
6/24/1994
3/31/1997
Inactive
Manhattan National Life Insurance Company
301011
Agent - Life
6/24/1994
3/31/1997
Inactive
Medical Life Insurance Company
300693
Agent - Health
8/29/1995
12/31/2004
Inactive
Medical Life Insurance Company
300693
Agent - Life
8/29/1995
12/31/2004
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
6/9/2004
12/7/2007
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
6/3/1999
3/31/2001
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
6/3/1999
3/31/2001
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
10/4/1999
10/18/2005
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
2/15/2002
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
2/15/2002
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Variable Life and Variable Annuities
2/15/2002
3/31/2003
Inactive
Order of United Commercial Travelers of America
301723
Agent - Life
9/3/1998
6/9/2000
Inactive
Pacific Life Insurance Company
301848
Agent - Health
11/10/1992
3/31/1997
Inactive
Pacific Life Insurance Company
301848
Agent - Life
11/10/1992
3/31/1997
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
7/6/1999
8/24/2000
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
7/6/1999
8/24/2000
Inactive
Principal Life Insurance Company
300129
Agent - Health
1/7/1993
10/31/2010
Inactive
Principal Life Insurance Company
300129
Agent - Life
8/27/2012
11/1/2012
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
5/10/2005
10/31/2010
Inactive
Protective Life Insurance Company
300638
Agent - Health
1/1/2007
12/30/2009
Inactive
Protective Life Insurance Company
300638
Agent - Life
1/1/2007
12/30/2009
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
9/6/1977
10/24/2003
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
9/6/1977
10/24/2003
Inactive
Pruco Life Insurance Company
300954
Agent - Health
11/27/2006
12/22/2008
Inactive
Pruco Life Insurance Company
300954
Agent - Life
11/27/2006
12/22/2008
Inactive
Prudential Insurance Company of America
300784
Agent - Health
8/26/1999
12/17/2004
Inactive
Prudential Insurance Company of America
300784
Agent - Life
8/26/1999
12/17/2004
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
9/24/1991
1/2/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
9/24/1991
1/2/2003
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
12/19/2007
8/17/2009
Inactive
Shenandoah Life Insurance Company
300130
Agent - Health
9/30/1983
3/31/2009
Inactive
Shenandoah Life Insurance Company
300130
Agent - Life
9/30/1983
3/31/2009
Inactive
State Life Insurance Company
301497
Agent - Health
11/13/2006
10/31/2010
Inactive
State Life Insurance Company
301497
Agent - Life
11/13/2006
10/31/2010
Inactive
Time Insurance Company
300683
Agent - Health
3/29/1999
10/31/2010
Inactive
Time Insurance Company
300683
Agent - Life
3/29/1999
10/31/2010
Inactive
Transamerica Assurance Company
300893
Agent - Health
11/27/2002
10/1/2004
Inactive
Transamerica Assurance Company
300893
Agent - Life
11/27/2002
10/1/2004
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
10/1/2008
10/31/2010
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
10/1/2008
10/31/2010
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
11/5/1975
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
11/5/1975
10/1/2008
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
3/11/1992
7/8/2005
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
10/31/2005
10/3/2007
Inactive
Union Bankers Insurance Company
301769
Agent - Health
11/3/1994
3/31/1997
Inactive
Union Bankers Insurance Company
301769
Agent - Life
11/3/1994
3/31/1997
Inactive
United Concordia Dental Plans of Kentucky Inc.
301923
Agent - Prepaid Dental Plan
7/8/1986
3/1/2001
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
2/16/1994
10/31/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
1/23/2006
10/31/2010
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
6/9/1999
11/21/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
6/9/1999
11/21/2005
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
2/3/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
2/3/1995
3/31/1997
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/1/2001
11/21/2005
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health Maintenance Organization
6/8/1999
3/1/2001
Inactive
Washington National Insurance Company
300587
Agent - Health
3/23/1993
3/31/1997
Inactive
Washington National Insurance Company
300587
Agent - Life
3/23/1993
3/31/1997
Inactive
West Coast Life Insurance Company
301607
Agent - Health
9/30/2011
9/18/2012
Inactive
West Coast Life Insurance Company
301607
Agent - Life
9/30/2011
9/18/2012
Inactive
Western National Life Insurance Company
300461
Agent - Life
2/15/2002
11/30/2007
Inactive
Wilcac Life Insurance Company
301573
Agent - Health
4/23/2003
6/12/2006
Inactive
Wilcac Life Insurance Company
301573
Agent - Life
4/23/2003
6/12/2006
Inactive
300277
Agent - Health
5/26/1999
1/1/2007
Inactive
300277
Agent - Life
5/26/1999
1/1/2007
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Acordia of Louisville Inc.
401252
Agent - Life
7/1/1993
2/28/2003
Inactive
Acordia of Louisville Inc.
401252
Agent - Health
7/1/1993
2/28/2003
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
8/17/1999
6/23/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
8/17/1999
6/23/2008
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
3/1/2001
10/31/2010
Inactive
Dental Choice Agency Inc.
398085
Agent - Prepaid Dental Plan
8/9/1999
3/1/2001
Inactive
Designated Agent Company Inc.
681257
Agent - Life
6/24/2008
10/31/2010
Inactive
Designated Agent Company Inc.
681257
Agent - Health
6/24/2008
10/31/2010
Inactive
Money Concepts International Inc
656354
Agent - Life
10/14/2008
10/31/2010
Inactive
Money Concepts International Inc
656354
Agent - Health
10/14/2008
10/31/2010
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