DEPARTMENT OF INSURANCE

Affiliations

Name	Beltz, David W	DOIID	324395	NAIC NPN	692585

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/31/2023		6/30/2026
Inactive	Non Resident	Agent	Health	10/1/2004	6/30/2012
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	10/1/2004	6/30/2012
* 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	Aetna Life Insurance Company	301140	Agent - Health	7/14/1997	6/8/2004
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/14/1997	6/8/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/4/1997	6/8/2004
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	11/14/2023
Inactive	American Network Insurance Company	301156	Agent - Health	1/16/1997	12/21/1998
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	11/5/2023
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	5/1/1997	10/5/1998
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	5/1/1997	10/5/1998
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/10/2000	6/8/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	5/21/1998	6/8/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	5/21/1998	1/2/2003
Inactive	Continental Casualty Company	301019	Agent - Health	3/24/1997	12/30/1999
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	5/21/1998	6/8/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	5/21/1998	6/8/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/9/1997	6/8/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	12/27/2000	6/8/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	7/29/1997	6/8/2004
Inactive	Forethought Life Insurance Company	301407	Agent - Health	1/12/1998	2/21/2003
Inactive	Forethought Life Insurance Company	301407	Agent - Life	1/12/1998	7/18/2000
Inactive	General American Life Insurance Company	300280	Agent - Health	5/8/2001	6/8/2004
Inactive	General American Life Insurance Company	300280	Agent - Life	5/8/2001	6/8/2004
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	5/8/2001	6/8/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/6/1997	12/31/1998
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	5/6/1997	12/31/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Health	7/23/1997	4/13/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Life	7/23/1997	4/13/1998
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	10/14/2005	6/30/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/14/2005	6/30/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	10/14/2005	6/30/2012
Inactive	Metropolitan Insurance and Annuity Company	301239	Agent - Health	10/30/1998	6/8/2004
Inactive	Metropolitan Insurance and Annuity Company	301239	Agent - Life	10/30/1998	6/8/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/1/2004	6/30/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/1/2004	6/30/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	10/1/2004	6/30/2012
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	10/3/1996	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	10/3/1996	3/31/2001
Active	Pruco Life Insurance Company	300954	Agent - Life	3/12/2024
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/3/1996	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/3/1996	1/3/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	6/8/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	6/8/2004
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	6/25/1997	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	6/25/1997	10/1/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	8/6/1997	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	8/6/1997	11/19/2003
Inactive	Texas Life Insurance Company	300345	Agent - Life	6/23/1997	6/8/2004
Inactive		300277	Agent - Health	5/21/1997	6/8/2004
Inactive		300277	Agent - Life	5/21/1997	6/8/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Metlife General Insurance Agency of KY	399858	Agent - Health	12/22/2000	6/8/2004
Inactive	Metlife General Insurance Agency of KY	399858	Agent - Life	12/22/2000	6/8/2004
Inactive	Metlife General Insurance Agency of KY	399858	Agent - Variable Life and Variable Annuities	4/6/2001	6/8/2004