DEPARTMENT OF INSURANCE
Affiliations
NameSample, Roland JDOIID320346NAIC NPN5933823
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities4/23/2007 6/30/2026
ActiveNon ResidentAgentHealth4/23/2007 6/30/2026
ActiveNon ResidentAgentLife4/23/2007 6/30/2026
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202406/30/202406/03/202406/03/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health10/29/20016/30/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Life10/29/20016/30/2006
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/20012/15/2002
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/20012/15/2002
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
ActiveC.M. Life Insurance Company301335Agent - Life7/5/2018 
InactiveEquitable Financial Life Insurance Company300808Agent - Life6/16/201412/30/2016
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities6/16/20145/16/2019
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life1/25/201811/25/2020
InactiveGeneral American Life Insurance Company300280Agent - Health8/23/200712/16/2009
InactiveGeneral American Life Insurance Company300280Agent - Life8/23/200712/16/2009
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities8/23/200712/16/2009
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life9/19/20026/30/2006
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities9/19/20026/30/2006
InactiveGuardian Life Insurance Company of America301316Agent - Health4/27/19992/15/2002
InactiveGuardian Life Insurance Company of America301316Agent - Life4/27/19992/15/2002
InactiveJackson National Life Insurance Company300486Agent - Health11/28/201811/14/2019
InactiveJackson National Life Insurance Company300486Agent - Life11/28/20184/12/2021
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/28/20184/12/2021
ActiveMassMutual Ascend Life Insurance Company300320Agent - Variable Life and Variable Annuities3/14/2022 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Life7/11/2016 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities2/28/2017 
InactiveMetLife Investors USA Insurance Company300845Agent - Health8/23/200711/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life8/23/200711/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities8/23/200711/14/2014
ActiveMetropolitan Life Insurance Company301948Agent - Health5/8/2014 
ActiveMetropolitan Life Insurance Company301948Agent - Life3/21/2012 
ActiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities6/25/2007 
InactiveNationwide Life Insurance Company300495Agent - Health4/9/201512/12/2016
InactiveNationwide Life Insurance Company300495Agent - Life4/9/201512/12/2016
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/9/201512/12/2016
InactiveProtective Life Insurance Company300638Agent - Health3/24/201411/23/2015
InactiveProtective Life Insurance Company300638Agent - Life3/24/201411/23/2015
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities3/24/201411/23/2015
ActivePruco Life Insurance Company300954Agent - Health6/27/2008 
ActivePruco Life Insurance Company300954Agent - Life6/27/2008 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities6/27/2008 
ActiveTransamerica Life Insurance Company300571Agent - Life10/2/2014 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities10/2/2014 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveMML Insurance Agency LLC398679Agent - Life4/4/2017 
ActiveMML Insurance Agency LLC398679Agent - Health4/4/2017 
ActiveMML Insurance Agency LLC398679Agent - Variable Life and Variable Annuities4/4/2017 
InactiveMSI Financial Services Inc731395Agent - Life6/13/20164/4/2017
InactiveMSI Financial Services Inc731395Agent - Health6/13/20164/4/2017
InactiveMSI Financial Services Inc731395Agent - Variable Life and Variable Annuities6/13/20164/4/2017

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