DEPARTMENT OF INSURANCE
Affiliations
NameLacy, Bradley DavidDOIID332105NAIC NPN382089
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife4/16/198512/1/2014 
InactiveResidentAgentHealth4/16/198512/1/2014 
InactiveResidentAgentVariable Life and Variable Annuities5/31/20013/3/2014 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/9/20067/7/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities1/9/20067/7/2006
InactiveAmerican General Life Insurance Company301585Agent - Health6/2/20063/18/2011
InactiveAmerican General Life Insurance Company301585Agent - Life6/2/20063/18/2011
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities6/2/20063/18/2011
InactiveAmerican National Insurance Company301861Agent - Health3/26/20071/14/2014
InactiveAmerican National Insurance Company301861Agent - Life3/26/20071/14/2014
InactiveAmerican National Insurance Company301861Agent - Variable Life and Variable Annuities3/26/20073/3/2014
InactiveBanner Life Insurance Company301696Agent - Life3/29/20108/9/2012
InactiveCMFG Life Insurance Company300929Agent - Health9/19/20075/16/2008
InactiveCMFG Life Insurance Company300929Agent - Life9/19/20075/16/2008
InactiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities9/19/20075/16/2008
InactiveCUNA Mutual Life Insurance Company301467Agent - Health1/16/200712/31/2007
InactiveCUNA Mutual Life Insurance Company301467Agent - Life1/16/200712/31/2007
InactiveCUNA Mutual Life Insurance Company301467Agent - Variable Life and Variable Annuities1/16/200712/31/2007
InactiveDearborn Life Insurance Company300401Agent - Health12/19/20079/2/2011
InactiveDearborn Life Insurance Company300401Agent - Life12/19/20079/2/2011
InactiveDelaware Life Insurance Company301256Agent - Health12/31/200311/18/2010
InactiveDelaware Life Insurance Company301256Agent - Life10/2/20007/23/2010
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities10/1/20017/23/2010
InactiveEquiTrust Life Insurance Company502870Agent - Life12/8/20097/6/2010
InactiveEquitable Financial Life Insurance Company300808Agent - Life1/21/200912/9/2010
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities1/21/200912/9/2010
InactiveEquitable Life Insurance Company of Iowa301633Agent - Life9/20/20011/1/2004
InactiveEquitable Life Insurance Company of Iowa301633Agent - Variable Life and Variable Annuities9/20/20011/1/2004
InactiveForethought Life Insurance Company301407Agent - Life8/26/20089/24/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life3/16/20107/29/2010
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/16/20107/29/2010
InactiveGeneral American Life Insurance Company300280Agent - Health10/7/200812/22/2009
InactiveGeneral American Life Insurance Company300280Agent - Life10/7/200812/22/2009
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities10/7/200812/22/2009
InactiveHartford Life and Accident Insurance Company300878Agent - Health11/5/199212/31/1998
InactiveHartford Life and Accident Insurance Company300878Agent - Life11/5/199212/31/1998
InactiveJackson National Life Insurance Company300486Agent - Life11/17/20067/20/2010
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/17/20067/20/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health8/3/199412/31/1998
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life8/3/199412/31/1998
InactiveKeyport Life Insurance Company300319Agent - Health4/16/198512/31/2003
InactiveKeyport Life Insurance Company300319Agent - Life4/16/198511/18/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/17/199112/17/2005
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/17/199112/17/2005
InactiveManufacturers Life Insurance Company300855Agent - Health8/3/199412/31/1996
InactiveManufacturers Life Insurance Company300855Agent - Life8/3/199412/31/1996
InactiveMetLife Investors Insurance Company301872Agent - Health10/3/20087/27/2010
InactiveMetLife Investors Insurance Company301872Agent - Life10/3/20087/27/2010
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities10/3/20087/27/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Health10/3/20087/27/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/3/20087/27/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities10/3/20087/27/2010
InactiveMetropolitan Life Insurance Company301948Agent - Health10/7/20087/27/2010
InactiveMetropolitan Life Insurance Company301948Agent - Life10/7/20087/27/2010
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities10/7/20087/27/2010
InactiveMinnesota Life Insurance Company300488Agent - Health2/9/20099/11/2013
InactiveMinnesota Life Insurance Company300488Agent - Life2/9/20099/11/2013
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities2/9/20099/11/2013
InactiveNew England Life Insurance Company300343Agent - Health10/7/200812/12/2009
InactiveNew England Life Insurance Company300343Agent - Life10/7/200812/12/2009
InactiveNew England Life Insurance Company300343Agent - Variable Life and Variable Annuities10/7/200812/12/2009
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life9/1/20103/3/2014
InactivePacific Life Insurance Company301848Agent - Life1/6/20067/7/2006
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities1/6/20067/7/2006
InactivePruco Life Insurance Company300954Agent - Health3/16/20107/29/2010
InactivePruco Life Insurance Company300954Agent - Life3/16/20107/29/2010
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/16/20107/29/2010
InactiveReliaStar Life Insurance Company301712Agent - Life6/25/20088/16/2010
InactiveSecurity Life of Denver Insurance Company300648Agent - Life6/25/20088/16/2010
InactiveSymetra Life Insurance Company301691Agent - Health9/25/20078/28/2013
InactiveSymetra Life Insurance Company301691Agent - Life9/25/20078/28/2013
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities9/25/20078/28/2013
InactiveTalcott Resolution Life Insurance Company301759Agent - Health11/5/199212/11/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life11/5/199212/11/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities5/31/200112/11/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health9/19/199612/11/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life9/19/199612/11/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities5/31/200112/11/2009
InactiveTransamerica Life Insurance Company300571Agent - Life8/30/20107/10/2013
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities8/30/20107/10/2013
InactiveUnion Central Life Insurance Company300307Agent - Health8/6/200912/31/2012
InactiveUnion Central Life Insurance Company300307Agent - Life8/6/200912/31/2012
InactiveUnion Central Life Insurance Company300307Agent - Variable Life and Variable Annuities9/9/200812/31/2012
InactiveVenerable Insurance and Annuity Company301006Agent - Life9/20/20018/16/2010
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities9/20/20018/16/2010
InactiveWestern National Life Insurance Company300461Agent - Life1/3/20067/7/2006
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health9/10/20071/24/2013
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life9/10/20071/24/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCFS INSURANCE & TECHNOLOGY SERVICES, LLC522155Agent - Life1/13/20064/21/2008
InactiveCFS INSURANCE & TECHNOLOGY SERVICES, LLC522155Agent - Health1/13/20064/21/2008
InactiveCFS INSURANCE & TECHNOLOGY SERVICES, LLC522155Agent - Variable Life and Variable Annuities1/13/20064/21/2008
InactiveLexington Investment Company Inc.399536Agent - Life9/3/19921/24/2007
InactiveLexington Investment Company Inc.399536Agent - Health9/3/19921/24/2007
InactiveLexington Investment Company Inc.399536Agent - Variable Life and Variable Annuities1/8/20041/24/2007

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