DEPARTMENT OF INSURANCE
Affiliations
NameVan Der Puy, Nancy KayDOIID331888NAIC NPN631606
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth11/19/20024/30/2019 
InactiveNon ResidentAgentVariable Life and Variable Annuities11/19/20024/30/2019 
InactiveNon ResidentAgentLife11/19/20024/30/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBrighthouse Life Insurance Company301829Agent - Health11/14/20144/9/2018
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/20144/9/2018
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/20144/9/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Life12/9/200411/6/2008
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities12/9/200411/6/2008
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life12/14/20045/15/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities12/14/20045/15/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/7/200312/13/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/7/200312/13/2013
InactiveManufacturers Life Insurance Company of North America301899Agent - Life5/28/19965/5/1997
InactiveMetLife Investors Insurance Company301872Agent - Health4/9/200911/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life4/20/200911/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities4/20/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health4/9/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life4/20/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities4/20/200911/14/2014
InactiveNationwide Life Insurance Company300495Agent - Health12/13/20045/7/2018
InactiveNationwide Life Insurance Company300495Agent - Life12/13/20045/7/2018
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities12/13/20045/7/2018
InactivePacific Life Insurance Company301848Agent - Life12/23/20025/21/2010
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities12/23/20025/21/2010
InactivePruco Life Insurance Company300954Agent - Life3/28/20121/2/2015
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/28/20121/2/2015
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life6/18/200311/4/2010
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities6/18/200311/4/2010
InactiveTalcott Resolution Life Insurance Company301759Agent - Health11/19/200211/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life11/19/200211/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities11/19/200211/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health11/19/200211/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/19/200211/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities11/19/200211/16/2011
InactiveTransamerica Life Insurance Company300571Agent - Life4/16/20032/7/2005
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/16/20032/7/2005
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life4/16/20038/26/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life4/16/20038/26/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities4/16/20038/26/2005
InactiveVenerable Insurance and Annuity Company301006Agent - Life12/10/20048/26/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities12/10/20048/26/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUbs Financial Services Ins Agency Inc399373Agent - Life12/13/20045/7/2018
InactiveUbs Financial Services Ins Agency Inc399373Agent - Health12/13/20045/7/2018
InactiveUbs Financial Services Ins Agency Inc399373Agent - Variable Life and Variable Annuities12/13/20045/7/2018
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Life2/7/20032/3/2005
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Health2/7/20032/3/2005
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities2/7/20032/3/2005

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