DEPARTMENT OF INSURANCE

Affiliations

Name	Staten, Tonya Renee	DOIID	325874	NAIC NPN	4022596

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/12/1996		9/30/2025
Active	Resident	Agent	Property	8/15/2000		9/30/2025
Active	Resident	Agent	Limited Line Credit	8/7/2000		9/30/2025
Active	Resident	Agent	Casualty	8/15/2000		9/30/2025
Active	Resident	Agent	Variable Life and Variable Annuities	12/8/2003		9/30/2025
Active	Resident	Agent	Health	5/31/2001		9/30/2025
Inactive	Resident	Agent	General Lines	6/6/2000	8/15/2000
Inactive	Resident	Agent	Credit Life & Health	10/26/1995	8/7/2000
* 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
Active	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	7/14/2000	8/15/2000
Active	Allstate Indemnity Company	300778	Agent - Property	8/15/2000
Active	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - General Lines	6/6/2000	8/15/2000
Active	Allstate Insurance Company	300773	Agent - Property	8/15/2000
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/18/2014
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/18/2014
Active	American Family Home Insurance Company	301817	Agent - Casualty	2/26/2024
Active	American Family Home Insurance Company	301817	Agent - Property	2/26/2024
Active	American Heritage Life Insurance Company	300272	Agent - Health	6/26/2001
Active	American Heritage Life Insurance Company	300272	Agent - Life	6/26/2001
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/22/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/22/2023
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/8/2007	1/28/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/8/2007	1/28/2009
Inactive	Banc One Kentucky Insurance Company	300824	Agent - Credit Life & Health	2/24/1997	6/30/1998
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/16/2021	5/27/2024
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	6/6/2013	12/29/2016
Active	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	6/6/2013
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Casualty	7/16/2021	3/8/2023
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Property	7/16/2021	3/8/2023
Active	Everlake Assurance Company	300203	Agent - Life	12/17/2014
Inactive	Everlake Assurance Company	300203	Agent - Variable Life and Variable Annuities	12/17/2014	10/3/2023
Active	Everlake Life Insurance Company	300873	Agent - Health	5/31/2001
Active	Everlake Life Insurance Company	300873	Agent - Life	7/10/2000
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	1/20/2004	10/3/2023
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	8/14/2006	11/25/2020
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	8/14/2006	11/25/2020
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/4/2008	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/4/2008	12/7/2012
Active	Gerber Life Insurance Company	300529	Agent - Health	12/21/2016
Active	Gerber Life Insurance Company	300529	Agent - Life	12/21/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	1/15/2021	10/8/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/15/2021	10/8/2023
Inactive	Keyport Life Insurance Company	300319	Agent - Life	7/11/1996	5/17/1999
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	9/12/1996	9/13/2004
Active	Lincoln Benefit Life Company	301110	Agent - Health	5/31/2001
Active	Lincoln Benefit Life Company	301110	Agent - Life	9/11/2000
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	12/24/2003	10/3/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/15/2019	10/2/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/15/2019	10/2/2023
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	8/13/1998	12/15/2003
Active	Midland National Life Insurance Company	300923	Agent - Life	11/14/2022
Active	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	11/14/2022
Active	National General Insurance Company	300152	Agent - Casualty	11/5/2021
Active	National General Insurance Company	300152	Agent - Property	11/5/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	2/3/1999
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/12/1996	12/30/2002
Active	Protective Life Insurance Company	300638	Agent - Health	6/8/2018
Active	Protective Life Insurance Company	300638	Agent - Life	6/8/2018
Active	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	6/8/2018
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/30/2010	10/4/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	4/30/2010	10/4/2023
Inactive	Standard Insurance Company	300185	Agent - Health	10/6/2015	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	10/6/2015	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Variable Life and Variable Annuities	10/6/2015	12/5/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/3/2021	12/15/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/3/2021	12/15/2023
Inactive	Union Security Life Insurance Company	300903	Agent - Credit Life & Health	10/26/1995	8/7/2000
Inactive	Union Security Life Insurance Company	300903	Agent - Limited Line Credit	8/7/2000	12/9/2002
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	3/23/2015	4/6/2018
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	3/23/2015	4/6/2018
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	3/23/2015	4/6/2018
Active	Western Surety Company	300283	Agent - Casualty	2/26/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bank One-Cincinnati NA	399935	Agent - Credit Life & Health	12/28/1995	8/7/2000