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DEPARTMENT OF INSURANCE
Affiliations
Name
Otterback, Larry Ellis
DOIID
336959
NAIC NPN
7185737
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Variable Life and Variable Annuities
2/22/2001
8/3/2001
Inactive
Resident
Agent
Health
1/6/2005
7/1/2006
Inactive
Resident
Agent
Life
1/6/2005
7/1/2006
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
7/25/2005
7/1/2006
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
4/10/2000
5/23/2002
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
4/10/2000
5/23/2002
Inactive
Athene Annuity & Life Assurance Company of New York
300724
Agent - Health
1/9/2001
7/1/2002
Inactive
C.M. Life Insurance Company
301335
Agent - Health
9/6/2005
7/1/2006
Inactive
C.M. Life Insurance Company
301335
Agent - Life
9/6/2005
7/1/2006
Inactive
Continental Casualty Company
301019
Agent - Health
1/10/2000
7/1/2002
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
7/25/2000
8/3/2001
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
2/22/2001
8/3/2001
Inactive
Genworth Life Insurance Company
300623
Agent - Health
3/4/1999
7/1/2002
Inactive
Genworth Life Insurance Company
300623
Agent - Life
3/4/1999
7/1/2002
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
7/6/1999
7/1/2002
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
11/17/1998
7/1/2002
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
11/17/1998
7/1/2002
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
4/13/1998
9/16/1998
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
6/15/1999
2/1/2000
Inactive
MONY Life Insurance Company
301141
Agent - Health
7/25/2000
8/3/2001
Inactive
MONY Life Insurance Company
301141
Agent - Life
7/25/2000
8/3/2001
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
11/10/1998
8/9/1999
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
9/6/2005
7/1/2006
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
9/6/2005
7/1/2006
Inactive
MedAmerica Insurance Company
301568
Agent - Health
7/1/2005
8/16/2006
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
3/3/2000
3/19/2001
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
12/20/1999
3/19/2001
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
12/20/1999
3/19/2001
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
4/15/2005
8/26/2006
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Health
6/11/1998
5/1/1999
Inactive
NYLIFE Insurance Company of Arizona
301642
Agent - Life
6/11/1998
5/1/1999
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
7/7/2005
7/1/2006
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
7/7/2005
7/1/2006
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
7/27/1999
1/4/2000
Inactive
New York Life Insurance Company
300431
Agent - Health
6/11/1998
5/1/1999
Inactive
New York Life Insurance Company
300431
Agent - Life
6/11/1998
5/1/1999
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
6/11/1998
5/1/1999
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
6/11/1998
5/1/1999
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
12/6/2000
7/1/2002
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
12/6/2000
7/1/2002
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
9/2/1998
7/1/2002
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
9/2/1998
7/1/2002
Inactive
Protective Life Insurance Company
300638
Agent - Health
8/25/1998
7/1/2002
Inactive
Protective Life Insurance Company
300638
Agent - Life
8/25/1998
7/1/2002
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
12/6/2000
7/1/2002
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
12/6/2000
7/1/2002
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Health
10/1/1998
1/19/1999
Inactive
Senior Health Insurance Company of Pennsylvania
300251
Agent - Life
10/1/1998
1/19/1999
Inactive
Sterling Life Insurance Company
301947
Agent - Health
4/8/2005
7/13/2005
Inactive
Sterling Life Insurance Company
301947
Agent - Life
4/8/2005
7/13/2005
Inactive
Texas Life Insurance Company
300345
Agent - Life
1/7/2000
1/8/2002
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
6/15/1999
2/1/2000
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
3/10/2000
7/1/2002
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
3/10/2000
7/1/2002
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
3/10/2000
7/1/2002
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
12/6/2000
7/1/2002
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
12/6/2000
7/1/2002
Inactive
United American Insurance Company
300910
Agent - Health
1/6/2005
5/27/2005
Inactive
United American Insurance Company
300910
Agent - Life
1/6/2005
5/27/2005
Inactive
United Investors Life Insurance Company
301873
Agent - Life
1/20/2005
5/27/2005
Inactive
United World Life Insurance Company
300532
Agent - Health
4/15/2005
8/26/2006
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
4/15/2005
8/26/2006
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
4/15/2005
8/26/2006
Inactive
Western National Life Insurance Company
300461
Agent - Life
6/24/1999
12/27/1999
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
GoldenCare USA, LLC
398142
Agent - Life
4/1/2005
4/5/2005
Inactive
GoldenCare USA, LLC
398142
Agent - Health
4/1/2005
4/5/2005
Inactive
Retirement Care Services Inc.
400406
Agent - Life
8/6/1998
7/1/2002
Inactive
Retirement Care Services Inc.
400406
Agent - Health
8/6/1998
7/1/2002
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