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DEPARTMENT OF INSURANCE
Affiliations
Name
Sample, Roland J
DOIID
320346
NAIC NPN
5933823
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
4/23/2007
6/30/2026
Active
Non Resident
Agent
Health
4/23/2007
6/30/2026
Active
Non Resident
Agent
Life
4/23/2007
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.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
10/29/2001
6/30/2006
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
10/29/2001
6/30/2006
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
6/27/2001
2/15/2002
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
6/27/2001
2/15/2002
Active
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
Active
C.M. Life Insurance Company
301335
Agent - Life
7/5/2018
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
6/16/2014
12/30/2016
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
6/16/2014
5/16/2019
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
1/25/2018
11/25/2020
Inactive
General American Life Insurance Company
300280
Agent - Health
8/23/2007
12/16/2009
Inactive
General American Life Insurance Company
300280
Agent - Life
8/23/2007
12/16/2009
Inactive
General American Life Insurance Company
300280
Agent - Variable Life and Variable Annuities
8/23/2007
12/16/2009
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
9/19/2002
6/30/2006
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
9/19/2002
6/30/2006
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
4/27/1999
2/15/2002
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
4/27/1999
2/15/2002
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
11/28/2018
11/14/2019
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
11/28/2018
4/12/2021
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
11/28/2018
4/12/2021
Active
MassMutual Ascend Life Insurance Company
300320
Agent - Life
2/26/2025
Active
MassMutual Ascend Life Insurance Company
300320
Agent - Variable Life and Variable Annuities
3/14/2022
Active
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
7/11/2016
Active
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
2/28/2017
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
8/23/2007
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
8/23/2007
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
8/23/2007
11/14/2014
Active
Metropolitan Life Insurance Company
301948
Agent - Health
5/8/2014
Active
Metropolitan Life Insurance Company
301948
Agent - Life
3/21/2012
Active
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
6/25/2007
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
4/9/2015
12/12/2016
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
4/9/2015
12/12/2016
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
4/9/2015
12/12/2016
Inactive
Protective Life Insurance Company
300638
Agent - Health
3/24/2014
11/23/2015
Inactive
Protective Life Insurance Company
300638
Agent - Life
3/24/2014
11/23/2015
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
3/24/2014
11/23/2015
Active
Pruco Life Insurance Company
300954
Agent - Health
6/27/2008
Active
Pruco Life Insurance Company
300954
Agent - Life
6/27/2008
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
6/27/2008
Active
Transamerica Life Insurance Company
300571
Agent - Life
10/2/2014
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
10/2/2014
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
MML Insurance Agency LLC
398679
Agent - Life
4/4/2017
Active
MML Insurance Agency LLC
398679
Agent - Health
4/4/2017
Active
MML Insurance Agency LLC
398679
Agent - Variable Life and Variable Annuities
4/4/2017
Inactive
MSI Financial Services Inc
731395
Agent - Life
6/13/2016
4/4/2017
Inactive
MSI Financial Services Inc
731395
Agent - Health
6/13/2016
4/4/2017
Inactive
MSI Financial Services Inc
731395
Agent - Variable Life and Variable Annuities
6/13/2016
4/4/2017
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