DEPARTMENT OF INSURANCE
Affiliations
NameBackstrom, Mignon ClarkDOIID336626NAIC NPN2517409
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife9/13/201112/1/2012 
InactiveResidentAgentHealth10/6/201112/1/2012 
InactiveResidentAgentVariable Life and Variable Annuities9/13/201112/1/2012 
* 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
InactiveLincoln National Life Insurance Company (The)301382Agent - Health12/1/199912/10/2001
InactiveLincoln National Life Insurance Company (The)301382Agent - Life12/1/199912/10/2001
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/30/200112/10/2001
InactiveRiverSource Life Insurance Company301952Agent - Health11/13/20016/2/2006
InactiveRiverSource Life Insurance Company301952Agent - Life11/13/20016/2/2006
InactiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities12/3/20016/2/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Health11/2/19998/8/2002
InactiveTalcott Resolution Life Insurance Company301759Agent - Life11/2/19998/8/2002
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities4/2/20018/8/2002
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health11/2/19998/8/2002
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/2/19998/8/2002
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities4/2/20018/8/2002
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmeriprise Financial Services, LLC398326Agent - Life4/22/20056/2/2006
InactiveAmeriprise Financial Services, LLC398326Agent - Health4/22/20056/2/2006
InactiveAmeriprise Financial Services, LLC398326Agent - Variable Life and Variable Annuities4/22/20056/2/2006
DeniedJ.J.B. Hilliard, W.L. Lyons, LLC679616Agent - Life  
DeniedJ.J.B. Hilliard, W.L. Lyons, LLC679616Agent - Health  
DeniedJ.J.B. Hilliard, W.L. Lyons, LLC679616Agent - Variable Life and Variable Annuities  
DeniedJJB Hilliard, WL Lyons LLC526305Agent - Life  
DeniedJJB Hilliard, WL Lyons LLC526305Agent - Health  
DeniedJJB Hilliard, WL Lyons LLC526305Agent - Variable Life and Variable Annuities  
InactiveRaymond James Insurance Group, Inc.398342Agent - Life6/13/20033/1/2005
InactiveRaymond James Insurance Group, Inc.398342Agent - Health6/13/20033/1/2005
InactiveRaymond James Insurance Group, Inc.398342Agent - Variable Life and Variable Annuities6/13/20033/1/2005

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