DEPARTMENT OF INSURANCE
Affiliations
NameHammerstrom, David EdwardDOIID332279NAIC NPN2557239
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife11/3/20083/1/2020 
InactiveResidentAgentVariable Life and Variable Annuities11/3/20083/1/2020 
InactiveResidentAgentHealth Maintenance Organization7/11/19976/28/1999 
InactiveResidentAgentHealth11/3/20083/1/2020 
* 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
InactiveAnthem Life Insurance Company301209Agent - Health6/23/19948/18/1996
InactiveAnthem Life Insurance Company301209Agent - Life6/23/19948/18/1996
InactiveBanner Life Insurance Company301696Agent - Life11/28/20067/1/2008
InactiveBerkshire Life Insurance Company of America300983Agent - Health1/2/20093/1/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Life1/2/20093/1/2020
InactiveGeneral American Life Insurance Company300280Agent - Health6/6/20017/1/2008
InactiveGeneral American Life Insurance Company300280Agent - Life6/6/20017/1/2008
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities6/6/200112/28/2006
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life11/19/20083/1/2020
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities11/19/20083/1/2020
InactiveGuardian Life Insurance Company of America301316Agent - Health1/2/20093/1/2020
InactiveGuardian Life Insurance Company of America301316Agent - Life1/2/20093/1/2020
InactiveHartford Life and Accident Insurance Company300878Agent - Health7/12/19948/18/1996
InactiveHartford Life and Accident Insurance Company300878Agent - Life7/12/19948/18/1996
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization7/11/19976/28/1999
InactiveIndependent Order of Foresters300743Agent - Health9/12/20057/1/2008
InactiveIndependent Order of Foresters300743Agent - Life9/12/20057/1/2008
InactiveIndependent Order of Foresters300743Agent - Variable Life and Variable Annuities9/12/20057/1/2008
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health1/6/20006/19/2007
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life10/17/19976/25/1999
InactiveMetropolitan Life Insurance Company301948Agent - Health5/8/200012/29/2006
InactiveMetropolitan Life Insurance Company301948Agent - Life5/8/200012/29/2006
InactiveNYLIFE Insurance Company of Arizona301642Agent - Health7/13/20049/19/2005
InactiveNYLIFE Insurance Company of Arizona301642Agent - Life7/13/20049/19/2005
InactiveNYLIFE Insurance Company of Arizona301642Agent - Variable Life and Variable Annuities7/13/20043/14/2007
InactiveNationwide Affinity Insurance Company of America300765Agent - Health4/7/19943/31/1996
InactiveNew England Life Insurance Company300343Agent - Health3/31/20007/1/2008
InactiveNew England Life Insurance Company300343Agent - Life3/31/20007/1/2008
InactiveNew England Life Insurance Company300343Agent - Variable Life and Variable Annuities5/31/200112/28/2006
InactiveNew York Life Insurance Company300431Agent - Health7/13/20049/19/2005
InactiveNew York Life Insurance Company300431Agent - Life7/13/20049/19/2005
InactiveNew York Life Insurance Company300431Agent - Variable Life and Variable Annuities7/13/20043/14/2007
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health7/13/20049/19/2005
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life7/13/20049/19/2005
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities7/13/20049/19/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/15/20027/1/2008
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/15/20027/1/2008
InactiveUNUM Life Insurance Company of America300817Agent - Health12/20/20047/1/2008
InactiveUNUM Life Insurance Company of America300817Agent - Life12/20/20047/1/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMedlink Inc400721Agent - Health6/6/19948/18/1996
InactiveMedlink Inc400721Agent - Life6/6/19948/18/1996

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