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DEPARTMENT OF INSURANCE
Affiliations
Name
Crockett, Daniel Edward
DOIID
333616
NAIC NPN
1944015
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Health
12/20/2004
6/30/2027
Active
Resident
Agent
Life
12/20/2004
6/30/2027
Active
Resident
Agent
Variable Life and Variable Annuities
12/20/2004
6/30/2027
* 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.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
04/15/2025
06/30/2025
05/05/2025
05/05/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
9/24/2009
1/22/2015
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
12/16/2022
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
12/27/2022
Active
American General Life Insurance Company
301585
Agent - Health
7/3/2024
Active
American General Life Insurance Company
301585
Agent - Life
10/10/2018
Active
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
10/10/2018
Inactive
Assurity Life Insurance Company
301099
Agent - Health
12/20/2004
12/15/2006
Inactive
Assurity Life Insurance Company
301099
Agent - Life
12/20/2004
12/15/2006
Active
Athene Annuity and Life Company
301893
Agent - Life
2/10/2023
Active
Brighthouse Life Insurance Company
301829
Agent - Health
10/25/2022
Active
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
Inactive
Delaware Life Insurance Company
301256
Agent - Life
1/30/2014
12/16/2014
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
1/30/2014
12/16/2014
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
4/11/2012
11/7/2012
Active
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
3/26/2021
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
5/20/2022
3/22/2023
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
5/20/2022
3/22/2023
Inactive
Everlake Life Insurance Company
300873
Agent - Life
4/12/2012
12/14/2012
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
4/12/2012
12/14/2012
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Health
10/13/2009
12/27/2012
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
5/22/2013
12/23/2014
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
5/22/2013
12/23/2014
Inactive
Genworth Life Insurance Company
300623
Agent - Health
12/20/2004
5/21/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Life
12/20/2004
5/21/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
7/27/2012
1/7/2014
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
7/27/2012
1/7/2014
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
6/5/2007
12/17/2012
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
2/7/2012
12/17/2012
Inactive
John Alden Life Insurance Company
300573
Agent - Health
12/20/2004
7/9/2007
Inactive
John Alden Life Insurance Company
300573
Agent - Life
12/20/2004
7/9/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
7/27/2009
12/30/2009
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/14/2023
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
9/14/2023
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
10/31/2012
11/19/2016
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Life
6/25/2010
12/21/2012
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
1/9/2013
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
1/9/2013
11/14/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
2/1/2013
4/28/2018
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
2/1/2013
4/28/2018
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
2/1/2013
4/28/2018
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
10/9/2009
12/18/2024
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
10/9/2009
12/18/2024
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
10/9/2009
12/18/2024
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
1/18/2013
12/18/2024
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
1/18/2013
12/18/2024
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
1/18/2013
12/18/2024
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
1/9/2013
9/12/2022
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
1/9/2013
9/12/2022
Active
Pacific Life Insurance Company
301848
Agent - Life
5/29/2007
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
5/29/2007
Active
Principal Life Insurance Company
300129
Agent - Health
12/13/2013
Active
Principal Life Insurance Company
300129
Agent - Life
12/13/2013
Active
Protective Life Insurance Company
300638
Agent - Health
1/15/2013
Active
Protective Life Insurance Company
300638
Agent - Life
1/15/2013
Active
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
1/15/2013
Inactive
Pruco Life Insurance Company
300954
Agent - Health
10/21/2022
12/23/2024
Inactive
Pruco Life Insurance Company
300954
Agent - Life
10/21/2022
12/23/2024
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
10/21/2022
12/23/2024
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
12/3/2008
10/6/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
12/3/2008
10/6/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
12/3/2008
10/6/2012
Inactive
RiverSource Life Insurance Company
301952
Agent - Health
12/20/2004
5/1/2007
Inactive
RiverSource Life Insurance Company
301952
Agent - Life
12/20/2004
5/1/2007
Inactive
RiverSource Life Insurance Company
301952
Agent - Variable Life and Variable Annuities
12/20/2004
5/1/2007
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
12/3/2008
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
12/3/2008
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
12/3/2008
9/29/2012
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
5/2/2012
10/1/2012
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
5/2/2012
10/1/2012
Inactive
Symetra Life Insurance Company
301691
Agent - Health
10/11/2022
12/30/2024
Inactive
Symetra Life Insurance Company
301691
Agent - Life
10/11/2022
12/30/2024
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
10/11/2022
12/30/2024
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
6/1/2007
12/14/2015
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
6/1/2007
12/14/2015
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
6/1/2007
12/14/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
6/1/2007
12/14/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
6/1/2007
12/14/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
6/1/2007
12/14/2015
Inactive
The Savings Bank Mutual Life Insurance Company of Massachusetts
690290
Agent - Life
11/19/2012
12/19/2014
Active
Transamerica Life Insurance Company
300571
Agent - Life
1/7/2013
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
1/7/2013
Inactive
Western National Life Insurance Company
300461
Agent - Life
5/21/2007
12/14/2012
Inactive
Western and Southern Life Insurance Company
301744
Agent - Health
12/1/2008
10/19/2011
Inactive
Western and Southern Life Insurance Company
301744
Agent - Life
12/1/2008
10/19/2011
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
5/17/2007
10/19/2015
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
5/17/2007
10/19/2015
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Ameriprise Financial Services, LLC
398326
Agent - Life
12/20/2004
4/11/2007
Inactive
Ameriprise Financial Services, LLC
398326
Agent - Health
12/20/2004
4/11/2007
Inactive
Ameriprise Financial Services, LLC
398326
Agent - Variable Life and Variable Annuities
12/20/2004
4/11/2007
Inactive
Chase Insurance Agency, Inc.
398324
Agent - Life
7/24/2019
9/13/2022
Inactive
Chase Insurance Agency, Inc.
398324
Agent - Health
7/24/2019
9/13/2022
Inactive
Chase Insurance Agency, Inc.
398324
Agent - Variable Life and Variable Annuities
7/24/2019
9/13/2022
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Life
5/25/2007
6/17/2015
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
5/25/2007
6/17/2015
Active
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Life
10/31/2022
Active
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Health
10/31/2022
Active
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Variable Life and Variable Annuities
10/31/2022
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