DEPARTMENT OF INSURANCE
Affiliations
NameCrockett, Daniel EdwardDOIID333616NAIC NPN1944015
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth12/20/2004 6/30/2025
ActiveResidentAgentVariable Life and Variable Annuities12/20/2004 6/30/2025
ActiveResidentAgentLife12/20/2004 6/30/2025
* 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 - Health9/24/20091/22/2015
ActiveAllianz Life Insurance Company of North America301791Agent - Life12/16/2022 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities12/27/2022 
ActiveAmerican General Life Insurance Company301585Agent - Health7/3/2024 
ActiveAmerican General Life Insurance Company301585Agent - Life10/10/2018 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities10/10/2018 
InactiveAssurity Life Insurance Company301099Agent - Health12/20/200412/15/2006
InactiveAssurity Life Insurance Company301099Agent - Life12/20/200412/15/2006
ActiveAthene Annuity and Life Company301893Agent - Life2/10/2023 
ActiveBrighthouse Life Insurance Company301829Agent - Health10/25/2022 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
InactiveDelaware Life Insurance Company301256Agent - Life1/30/201412/16/2014
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities1/30/201412/16/2014
InactiveEquitable Financial Life Insurance Company300808Agent - Life4/11/201211/7/2012
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities3/26/2021 
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/20/20223/22/2023
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/20/20223/22/2023
InactiveEverlake Life Insurance Company300873Agent - Life4/12/201212/14/2012
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities4/12/201212/14/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health10/13/200912/27/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life5/22/201312/23/2014
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities5/22/201312/23/2014
InactiveGenworth Life Insurance Company300623Agent - Health12/20/20045/21/2007
InactiveGenworth Life Insurance Company300623Agent - Life12/20/20045/21/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health7/27/20121/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life7/27/20121/7/2014
InactiveJackson National Life Insurance Company300486Agent - Life6/5/200712/17/2012
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities2/7/201212/17/2012
InactiveJohn Alden Life Insurance Company300573Agent - Health12/20/20047/9/2007
InactiveJohn Alden Life Insurance Company300573Agent - Life12/20/20047/9/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Life7/27/200912/30/2009
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/14/2023 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/14/2023 
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities10/31/201211/19/2016
InactiveLincoln Life Assurance Company of Boston301915Agent - Life6/25/201012/21/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/9/201311/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities1/9/201311/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health2/1/20134/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life2/1/20134/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities2/1/20134/28/2018
ActiveNationwide Life Insurance Company300495Agent - Health10/9/2009 
ActiveNationwide Life Insurance Company300495Agent - Life10/9/2009 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities10/9/2009 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health1/18/2013 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life1/18/2013 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities1/18/2013 
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/9/20139/12/2022
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities1/9/20139/12/2022
ActivePacific Life Insurance Company301848Agent - Life5/29/2007 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities5/29/2007 
ActivePrincipal Life Insurance Company300129Agent - Health12/13/2013 
ActivePrincipal Life Insurance Company300129Agent - Life12/13/2013 
ActiveProtective Life Insurance Company300638Agent - Health1/15/2013 
ActiveProtective Life Insurance Company300638Agent - Life1/15/2013 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities1/15/2013 
ActivePruco Life Insurance Company300954Agent - Health10/21/2022 
ActivePruco Life Insurance Company300954Agent - Life10/21/2022 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities10/21/2022 
InactiveReliaStar Life Insurance Company301712Agent - Health12/3/200810/6/2012
InactiveReliaStar Life Insurance Company301712Agent - Life12/3/200810/6/2012
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities12/3/200810/6/2012
InactiveRiverSource Life Insurance Company301952Agent - Health12/20/20045/1/2007
InactiveRiverSource Life Insurance Company301952Agent - Life12/20/20045/1/2007
InactiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities12/20/20045/1/2007
InactiveSecurity Life of Denver Insurance Company300648Agent - Health12/3/20089/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life12/3/20089/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities12/3/20089/29/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life5/2/201210/1/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities5/2/201210/1/2012
ActiveSymetra Life Insurance Company301691Agent - Health10/11/2022 
ActiveSymetra Life Insurance Company301691Agent - Life10/11/2022 
ActiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities10/11/2022 
InactiveTalcott Resolution Life Insurance Company301759Agent - Health6/1/200712/14/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Life6/1/200712/14/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities6/1/200712/14/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health6/1/200712/14/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life6/1/200712/14/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities6/1/200712/14/2015
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life11/19/201212/19/2014
ActiveTransamerica Life Insurance Company300571Agent - Life1/7/2013 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities1/7/2013 
InactiveWestern National Life Insurance Company300461Agent - Life5/21/200712/14/2012
InactiveWestern and Southern Life Insurance Company301744Agent - Health12/1/200810/19/2011
InactiveWestern and Southern Life Insurance Company301744Agent - Life12/1/200810/19/2011
InactiveWestern-Southern Life Assurance Company301590Agent - Health5/17/200710/19/2015
InactiveWestern-Southern Life Assurance Company301590Agent - Life5/17/200710/19/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmeriprise Financial Services, LLC398326Agent - Life12/20/20044/11/2007
InactiveAmeriprise Financial Services, LLC398326Agent - Health12/20/20044/11/2007
InactiveAmeriprise Financial Services, LLC398326Agent - Variable Life and Variable Annuities12/20/20044/11/2007
InactiveChase Insurance Agency, Inc.398324Agent - Life7/24/20199/13/2022
InactiveChase Insurance Agency, Inc.398324Agent - Health7/24/20199/13/2022
InactiveChase Insurance Agency, Inc.398324Agent - Variable Life and Variable Annuities7/24/20199/13/2022
InactiveFifth Third Insurance Agency Inc399341Agent - Life5/25/20076/17/2015
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities5/25/20076/17/2015
ActiveWells Fargo Advisors Insurance Agency LLC399972Agent - Life10/31/2022 
ActiveWells Fargo Advisors Insurance Agency LLC399972Agent - Health10/31/2022 
ActiveWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities10/31/2022 

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