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DEPARTMENT OF INSURANCE
Affiliations
Name
Douglas, Keith J
DOIID
320113
NAIC NPN
697938
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Variable Life and Variable Annuities
5/31/2001
2/28/2026
Active
Non Resident
Agent
Life
6/7/2001
2/28/2026
Active
Non Resident
Agent
Health
4/16/2001
2/28/2026
* 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
American General Life Insurance Company
301585
Agent - Health
4/1/2007
10/25/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
4/1/2007
10/25/2012
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
4/1/2007
10/25/2012
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
11/16/1999
2/14/2001
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
5/29/2001
12/15/2003
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
6/28/2001
3/6/2013
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
6/28/2001
3/6/2013
Inactive
Delaware Life Insurance Company
301256
Agent - Life
5/21/2001
3/20/2003
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
12/31/2003
11/30/2006
Inactive
Everlake Life Insurance Company
300873
Agent - Life
5/18/2005
12/3/2008
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
5/18/2005
12/3/2008
Inactive
First Colony Life Insurance Company
301179
Agent - Health
5/21/2001
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
6/7/2001
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
10/25/2000
2/14/2001
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
10/25/2000
2/14/2001
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/1/2007
5/22/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
5/22/2009
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
2/6/2004
1/1/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
2/6/2004
1/1/2005
Active
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
12/22/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
6/6/2001
12/8/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
6/7/2001
12/8/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Variable Life and Variable Annuities
6/6/2001
12/20/2006
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
11/2/2000
2/14/2001
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
11/2/2000
2/14/2001
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Health
6/6/2001
12/1/2005
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
6/7/2001
12/1/2005
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Variable Life and Variable Annuities
6/6/2001
12/1/2005
Inactive
Keyport Life Insurance Company
300319
Agent - Life
10/8/1999
2/14/2001
Inactive
Keyport Life Insurance Company
300319
Agent - Variable Life and Variable Annuities
5/29/2001
12/31/2003
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Life
6/25/2010
10/10/2019
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
12/8/2008
12/1/2016
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
12/8/2008
12/1/2016
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Life
11/2/2000
2/14/2001
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Health
11/16/1999
2/14/2001
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
6/7/2001
4/29/2005
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
1/24/2000
2/14/2001
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
1/24/2000
2/14/2001
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
5/31/2001
6/2/2005
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
6/7/2001
6/2/2005
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
5/31/2001
6/2/2005
Active
New York Life Insurance and Annuity Corporation
300726
Agent - Life
12/15/2008
Active
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
12/15/2008
Inactive
Northbrook Life Insurance Company
301020
Agent - Life
10/4/1999
2/14/2001
Inactive
Northbrook Life Insurance Company
301020
Agent - Variable Life and Variable Annuities
4/30/2001
1/1/2003
Inactive
Pacific Life Insurance Company
301848
Agent - Life
8/18/2006
9/23/2015
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
8/18/2006
9/23/2015
Inactive
Protective Life Insurance Company
300638
Agent - Health
5/11/2023
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Life
5/11/2023
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
5/11/2023
11/23/2023
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
1/14/2000
2/14/2001
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
1/14/2000
2/14/2001
Inactive
Standard Insurance Company
300185
Agent - Health
10/29/2018
12/5/2022
Inactive
Standard Insurance Company
300185
Agent - Life
10/29/2018
12/5/2022
Inactive
Standard Insurance Company
300185
Agent - Variable Life and Variable Annuities
10/29/2018
12/5/2022
Active
State Life Insurance Company
301497
Agent - Health
11/26/2019
Active
State Life Insurance Company
301497
Agent - Life
11/26/2019
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Health
11/1/2000
2/14/2001
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
11/1/2000
2/14/2001
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
4/16/2001
6/13/2005
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
6/7/2001
6/13/2005
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
5/31/2001
6/13/2005
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
4/16/2001
6/13/2005
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
6/7/2001
6/13/2005
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
5/31/2001
6/13/2005
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
3/2/2000
2/14/2001
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
3/2/2000
2/14/2001
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
9/4/2003
9/3/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
9/4/2003
9/3/2008
Inactive
Western National Life Insurance Company
300461
Agent - Life
10/15/2003
12/24/2008
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Health
2/26/2003
5/23/2003
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
2/26/2003
5/23/2003
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
12/13/2002
5/23/2003
Inactive
Western and Southern Life Insurance Company
301744
Agent - Health
1/21/2009
10/28/2011
Inactive
Western and Southern Life Insurance Company
301744
Agent - Life
1/21/2009
10/28/2011
Active
Western-Southern Life Assurance Company
301590
Agent - Health
12/12/2008
Active
Western-Southern Life Assurance Company
301590
Agent - Life
12/12/2008
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Fifth Third Insurance Agency Inc
399341
Agent - Life
2/11/2009
Active
Fifth Third Insurance Agency Inc
399341
Agent - Health
2/11/2009
Active
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
2/11/2009
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