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DEPARTMENT OF INSURANCE
Affiliations
Name
Block, Kenneth Lee
DOIID
344127
NAIC NPN
6613242
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
10/31/2025
Active
Resident
Agent
Life
9/5/1973
10/31/2025
Active
Resident
Agent
Health
9/5/1973
10/31/2025
Active
Resident
Agent
Casualty
8/15/2000
10/31/2025
Active
Resident
Agent
Property
8/15/2000
10/31/2025
Inactive
Resident
Agent
Prepaid Dental Plan
10/27/1998
3/1/2001
Inactive
Resident
Agent
General Lines
6/30/1981
8/15/2000
Inactive
Resident
Agent
Health Maintenance Organization
3/1/2000
3/1/2001
* 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
08/15/2025
10/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
4/25/2018
12/15/2020
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
8/5/2003
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
8/5/2003
Inactive
American Casualty Company of Reading, Pennsylvania
300956
Agent - General Lines
2/23/1993
8/15/2000
Inactive
American Continental Insurance Company
643130
Agent - Life
4/25/2018
12/15/2020
Inactive
American Economy Insurance Company
300315
Agent - Casualty
11/9/2019
5/28/2024
Inactive
American Economy Insurance Company
300315
Agent - General Lines
6/30/1981
8/15/2000
Inactive
American Economy Insurance Company
300315
Agent - Property
11/9/2019
5/28/2024
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
12/7/2011
5/28/2024
Inactive
American Fire and Casualty Company
300567
Agent - Property
12/7/2011
5/28/2024
Inactive
American General Life Insurance Company
301585
Agent - Health
5/23/2016
12/23/2019
Inactive
American General Life Insurance Company
301585
Agent - Life
5/23/2016
12/23/2019
Inactive
American Manufacturers Mutual Insurance Company
301807
Agent - Casualty
8/15/2000
5/31/2003
Inactive
American Manufacturers Mutual Insurance Company
301807
Agent - General Lines
6/25/1991
8/15/2000
Inactive
American Manufacturers Mutual Insurance Company
301807
Agent - Property
8/15/2000
5/31/2003
Inactive
American Motorists Insurance Company
301212
Agent - Casualty
8/15/2000
5/31/2003
Inactive
American Motorists Insurance Company
301212
Agent - General Lines
6/25/1991
8/15/2000
Inactive
American Motorists Insurance Company
301212
Agent - Property
8/15/2000
5/31/2003
Inactive
American National Life Insurance Company of Texas
300912
Agent - Health
5/18/2006
6/4/2015
Active
American National Life Insurance Company of Texas
300912
Agent - Life
5/18/2006
Inactive
American States Insurance Company
301230
Agent - Casualty
8/15/2000
4/24/2003
Inactive
American States Insurance Company
301230
Agent - General Lines
6/30/1981
8/15/2000
Inactive
American States Insurance Company
301230
Agent - Property
8/15/2000
4/24/2003
Inactive
American States Life Insurance Company
301884
Agent - Health
3/14/1989
5/19/2000
Inactive
American States Life Insurance Company
301884
Agent - Life
3/14/1989
5/19/2000
Inactive
American States Preferred Insurance Company
300609
Agent - Casualty
8/15/2000
4/24/2003
Inactive
American States Preferred Insurance Company
300609
Agent - General Lines
9/3/1981
8/15/2000
Inactive
American States Preferred Insurance Company
300609
Agent - Property
8/15/2000
4/24/2003
Active
American United Life Insurance Company
300498
Agent - Health
9/5/1973
Active
American United Life Insurance Company
300498
Agent - Life
9/5/1973
Active
American United Life Insurance Company
300498
Agent - Variable Life and Variable Annuities
5/31/2001
Inactive
Anthem Life Insurance Company
301209
Agent - Health
4/23/1998
12/19/2016
Inactive
Anthem Life Insurance Company
301209
Agent - Life
4/23/1998
12/19/2016
Inactive
Assurance Company of America
300432
Agent - General Lines
8/2/1994
3/31/1996
Inactive
Assurity Life Insurance Company
301099
Agent - Health
7/19/2006
1/21/2009
Inactive
Assurity Life Insurance Company
301099
Agent - Life
7/19/2006
1/21/2009
Active
Athene Annuity and Life Company
301893
Agent - Life
11/9/2017
Inactive
Banner Life Insurance Company
301696
Agent - Life
2/8/2013
8/4/2016
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
3/15/2002
2/21/2003
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
3/15/2002
2/21/2003
Active
Brighthouse Life Insurance Company
301829
Agent - Health
10/6/2016
Active
Brighthouse Life Insurance Company
301829
Agent - Life
10/6/2016
Inactive
Buckeye Union Insurance Company (The)
300597
Agent - General Lines
2/5/1997
3/31/1998
Inactive
C.M. Life Insurance Company
301335
Agent - Health
11/20/2000
8/17/2010
Inactive
C.M. Life Insurance Company
301335
Agent - Life
11/20/2000
8/17/2010
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
6/15/2001
8/17/2010
Inactive
CHA HMO, Inc.
300662
Agent - Health
11/28/2005
3/27/2013
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
7/12/1996
4/1/2007
Inactive
Chase Life and Annuity Company
300145
Agent - Health
2/23/1993
12/11/1996
Inactive
Chase Life and Annuity Company
300145
Agent - Life
2/23/1993
12/11/1996
Inactive
Cigna National Health Insurance Company
300235
Agent - Health
3/13/1991
3/31/1997
Inactive
Cigna National Health Insurance Company
300235
Agent - Life
3/13/1991
3/31/1997
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Health
7/13/1992
3/31/1997
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
7/13/1992
3/31/1997
Inactive
Commercial Insurance Company of Newark, New Jersey
300328
Agent - General Lines
2/3/1997
3/31/1998
Inactive
CompDent Corporation
301387
Agent - Health
3/1/2001
12/23/2004
Inactive
CompDent Corporation
301387
Agent - Prepaid Dental Plan
10/27/1998
3/1/2001
Inactive
Conseco Insurance Company
301202
Agent - Life
4/29/1999
10/3/2003
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
8/15/2000
10/13/2022
Inactive
Consolidated Insurance Company
300943
Agent - General Lines
3/14/1998
8/15/2000
Inactive
Consolidated Insurance Company
300943
Agent - Property
8/15/2000
10/13/2022
Inactive
Continental Casualty Company
301019
Agent - General Lines
2/23/1993
8/15/2000
Inactive
Continental Insurance Company (The)
301242
Agent - Casualty
8/15/2000
9/3/2002
Inactive
Continental Insurance Company (The)
301242
Agent - General Lines
7/1/1986
8/15/2000
Inactive
Continental Insurance Company (The)
301242
Agent - Property
8/15/2000
9/3/2002
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
4/25/2018
12/15/2020
Inactive
Delaware Life Insurance Company
301256
Agent - Life
7/21/2016
12/21/2021
Pending Replacement
Dental Care Plus Inc.
301495
Agent - Health
2/27/2006
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
11/27/2010
Inactive
Encova Life Insurance Company
301818
Agent - Health
10/16/1989
9/3/2020
Inactive
Encova Life Insurance Company
301818
Agent - Life
10/16/1989
12/28/2011
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Health
1/29/2001
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Life
1/29/2001
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Variable Life and Variable Annuities
5/28/2002
1/1/2004
Inactive
FCCI Insurance Company
557454
Agent - Casualty
7/27/2004
12/22/2005
Inactive
FCCI Insurance Company
557454
Agent - Property
7/27/2004
12/22/2005
Inactive
Federal Insurance Company
301144
Agent - Casualty
8/15/2000
10/2/2001
Inactive
Federal Insurance Company
301144
Agent - General Lines
10/11/1995
8/15/2000
Inactive
Federal Insurance Company
301144
Agent - Property
8/15/2000
10/2/2001
Inactive
Fidelity and Casualty Company of New York (The)
300160
Agent - Casualty
8/15/2000
9/3/2002
Inactive
Fidelity and Casualty Company of New York (The)
300160
Agent - General Lines
2/1/1997
8/15/2000
Inactive
Fidelity and Casualty Company of New York (The)
300160
Agent - Property
8/15/2000
9/3/2002
Inactive
Firemen's Insurance Company of Newark, New Jersey
300247
Agent - General Lines
2/4/1997
3/31/1998
Inactive
First Colony Life Insurance Company
301179
Agent - Health
7/17/2006
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
7/17/2006
1/1/2007
Inactive
First National Insurance Company of America
301690
Agent - Casualty
10/7/2008
10/15/2021
Inactive
First National Insurance Company of America
301690
Agent - General Lines
11/1/1998
8/15/2000
Inactive
First National Insurance Company of America
301690
Agent - Property
10/7/2008
10/15/2021
Active
Forethought Life Insurance Company
301407
Agent - Health
5/16/2018
Active
Forethought Life Insurance Company
301407
Agent - Life
5/16/2018
Active
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
5/16/2018
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
9/22/1995
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
12/31/2002
Inactive
General Insurance Company of America
300261
Agent - Casualty
10/7/2008
10/15/2021
Inactive
General Insurance Company of America
300261
Agent - General Lines
11/1/1998
8/15/2000
Inactive
General Insurance Company of America
300261
Agent - Property
10/7/2008
10/15/2021
Inactive
Genworth Life Insurance Company
300623
Agent - Health
3/23/2013
1/5/2015
Inactive
Genworth Life Insurance Company
300623
Agent - Life
3/23/2013
1/5/2015
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/1/2007
1/5/2015
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
1/5/2015
Inactive
Glens Falls Insurance Company (The)
301922
Agent - General Lines
2/4/1997
12/30/1999
Inactive
Golden Rule Insurance Company
301943
Agent - Health
12/1/2005
11/10/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
12/1/2005
11/10/2008
Inactive
Great Southern Life Insurance Company
301443
Agent - Health
4/20/1993
6/7/2002
Inactive
Great Southern Life Insurance Company
301443
Agent - Life
4/20/1993
6/7/2002
Inactive
Guarantee Life Insurance Company
301560
Agent - Health
9/26/1994
9/8/2000
Inactive
Guarantee Life Insurance Company
301560
Agent - Life
9/26/1994
9/8/2000
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Casualty
8/15/2000
11/7/2007
Inactive
Hartford Accident and Indemnity Company
301917
Agent - General Lines
8/19/1993
8/15/2000
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Property
8/15/2000
11/7/2007
Inactive
Hartford Casualty Insurance Company
301332
Agent - Casualty
8/15/2000
11/10/2009
Inactive
Hartford Casualty Insurance Company
301332
Agent - General Lines
8/19/1993
8/15/2000
Inactive
Hartford Casualty Insurance Company
301332
Agent - Property
8/15/2000
11/10/2009
Inactive
Hartford Fire Insurance Company
300628
Agent - Casualty
8/15/2000
11/10/2009
Inactive
Hartford Fire Insurance Company
300628
Agent - General Lines
8/19/1993
8/15/2000
Inactive
Hartford Fire Insurance Company
300628
Agent - Property
8/15/2000
11/10/2009
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Casualty
8/15/2000
11/10/2009
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - General Lines
8/19/1993
8/15/2000
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Property
8/15/2000
11/10/2009
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
2/6/2018
11/27/2024
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
2/6/2018
11/27/2024
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Casualty
8/15/2000
11/10/2009
Inactive
Hartford Underwriters Insurance Company
301064
Agent - General Lines
8/19/1993
8/15/2000
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Property
8/15/2000
11/10/2009
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/15/2002
11/27/2010
Inactive
Humana Insurance Company
301104
Agent - Health
6/9/1997
11/27/2010
Inactive
Humana Insurance Company
301104
Agent - Life
6/9/1997
11/27/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/29/2004
11/27/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/29/2004
11/27/2010
Inactive
Indiana Insurance Company
301909
Agent - Casualty
8/15/2000
2/3/2023
Inactive
Indiana Insurance Company
301909
Agent - General Lines
3/14/1998
8/15/2000
Inactive
Indiana Insurance Company
301909
Agent - Property
8/15/2000
2/3/2023
Inactive
Infinity Casualty Insurance Company
301280
Agent - General Lines
3/25/1986
6/29/2000
Inactive
Investors Life Insurance Company of Indiana
301657
Agent - Health
1/9/1992
12/28/1998
Inactive
Investors Life Insurance Company of Indiana
301657
Agent - Life
1/9/1992
12/28/1998
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
10/4/2005
12/11/2024
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
10/4/2005
12/11/2024
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
6/17/2008
3/5/2013
Inactive
Jefferson National Life Insurance Company
300258
Agent - Variable Life and Variable Annuities
6/17/2008
3/5/2013
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
9/8/2000
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
9/8/2000
7/2/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
8/5/2003
7/19/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
8/5/2003
7/19/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Variable Life and Variable Annuities
8/5/2003
7/19/2008
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
8/5/2003
12/11/2006
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Variable Life and Variable Annuities
8/5/2003
12/20/2006
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/10/2008
11/27/2010
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/10/2008
11/27/2010
Inactive
Kansas City Fire and Marine Insurance Company
301936
Agent - General Lines
2/4/1997
12/30/1999
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
10/16/1997
11/30/2000
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
1/19/2010
11/12/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
1/19/2010
11/12/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
1/19/2010
11/12/2018
Inactive
Lumbermens Mutual Casualty Company
301119
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Lumbermens Mutual Casualty Company
301119
Agent - General Lines
6/25/1991
8/15/2000
Inactive
Lumbermens Mutual Casualty Company
301119
Agent - Property
8/15/2000
5/31/2003
Inactive
MICO Insurance Company
301664
Agent - General Lines
10/16/1989
3/31/1996
Inactive
MML Bay State Life Insurance Company
301198
Agent - Health
11/20/2000
8/17/2010
Inactive
MML Bay State Life Insurance Company
301198
Agent - Life
11/20/2000
8/17/2010
Inactive
MML Bay State Life Insurance Company
301198
Agent - Variable Life and Variable Annuities
6/15/2001
8/17/2010
Inactive
Madison National Life Insurance Company Inc.
301458
Agent - Health
8/18/2009
12/17/2019
Inactive
Madison National Life Insurance Company Inc.
301458
Agent - Life
8/18/2009
12/17/2019
Inactive
Maryland Casualty Company
301719
Agent - General Lines
8/2/1994
3/31/1996
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
7/19/2022
11/15/2024
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Variable Life and Variable Annuities
7/19/2022
11/15/2024
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
11/20/2000
8/17/2010
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
11/20/2000
8/17/2010
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
6/15/2001
8/17/2010
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
5/1/1997
3/31/2001
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
5/1/1997
3/31/2001
Inactive
Monroe Guaranty Insurance Company
300771
Agent - Casualty
7/27/2004
12/22/2005
Inactive
Monroe Guaranty Insurance Company
300771
Agent - Property
7/27/2004
12/22/2005
Inactive
Motorists Mutual Insurance Company
300963
Agent - Casualty
8/15/2000
4/8/2002
Inactive
Motorists Mutual Insurance Company
300963
Agent - General Lines
10/16/1989
8/15/2000
Inactive
Motorists Mutual Insurance Company
300963
Agent - Property
8/15/2000
4/8/2002
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
6/6/2017
4/23/2018
Inactive
Nassau Life Insurance Company
301406
Agent - Health
5/21/2001
2/13/2004
Inactive
Nassau Life Insurance Company
301406
Agent - Life
5/21/2001
2/13/2004
Inactive
Nassau Life Insurance Company
301406
Agent - Variable Life and Variable Annuities
5/21/2001
2/13/2004
Inactive
National Fire Insurance Company of Hartford
301063
Agent - General Lines
2/23/1993
8/15/2000
Inactive
National Trust Insurance Company
300367
Agent - Casualty
7/27/2004
12/22/2005
Inactive
National Trust Insurance Company
300367
Agent - Property
7/27/2004
12/22/2005
Active
Nationwide Life Insurance Company
300495
Agent - Health
7/25/1996
Active
Nationwide Life Insurance Company
300495
Agent - Life
7/25/1996
Active
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
6/12/2001
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
8/26/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
8/26/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
8/26/2015
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
8/15/2000
4/26/2024
Inactive
Netherlands Insurance Company (The)
300339
Agent - General Lines
3/14/1998
8/15/2000
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
8/15/2000
4/26/2024
Active
North American Company for Life and Health Insurance
300291
Agent - Life
2/27/2020
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
12/7/2011
5/28/2024
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
12/7/2011
5/28/2024
Inactive
Ohio Farmers Insurance Company
301667
Agent - General Lines
3/11/1991
11/30/1998
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
12/7/2011
5/28/2024
Inactive
Ohio Security Insurance Company
300622
Agent - Property
12/7/2011
5/28/2024
Inactive
Omni Insurance Company
301545
Agent - General Lines
9/1/1989
3/31/2000
Inactive
PHL Variable Insurance Company
300525
Agent - Health
5/21/2001
2/13/2004
Inactive
PHL Variable Insurance Company
300525
Agent - Life
5/21/2001
2/13/2004
Inactive
PHL Variable Insurance Company
300525
Agent - Variable Life and Variable Annuities
5/21/2001
2/13/2004
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Health
9/16/2005
11/25/2008
Inactive
PacifiCare Life and Health Insurance Company
301304
Agent - Life
9/16/2005
11/25/2008
Active
Pacific Life Insurance Company
301848
Agent - Health
4/9/1997
Active
Pacific Life Insurance Company
301848
Agent - Life
4/9/1997
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
6/25/2001
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
8/5/1998
8/24/2000
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
8/5/1998
8/24/2000
Inactive
Peerless Insurance Company
301910
Agent - Casualty
8/15/2000
5/28/2024
Inactive
Peerless Insurance Company
301910
Agent - General Lines
3/14/1998
8/15/2000
Inactive
Peerless Insurance Company
301910
Agent - Property
8/15/2000
5/28/2024
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Health
6/22/2004
1/10/2013
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
6/22/2004
1/10/2013
Inactive
Philadelphia American Life Insurance Company
300178
Agent - Health
2/16/1994
3/31/1997
Inactive
Philadelphia American Life Insurance Company
300178
Agent - Life
2/16/1994
3/31/1997
Inactive
Principal Life Insurance Company
300129
Agent - Health
6/26/1991
11/25/2009
Inactive
Principal Life Insurance Company
300129
Agent - Life
6/26/1991
11/25/2009
Active
Principal National Life Insurance Company
301926
Agent - Life
5/24/2017
Inactive
Protective Life Insurance Company
300638
Agent - Health
1/23/2013
11/23/2019
Inactive
Protective Life Insurance Company
300638
Agent - Life
1/23/2013
11/23/2019
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
1/23/2013
11/23/2019
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
7/31/1998
11/10/2004
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
7/31/1998
11/10/2004
Active
Pruco Life Insurance Company
300954
Agent - Health
4/4/2007
Active
Pruco Life Insurance Company
300954
Agent - Life
4/4/2007
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
4/4/2007
Active
Prudential Insurance Company of America
300784
Agent - Health
4/4/2007
Active
Prudential Insurance Company of America
300784
Agent - Life
4/4/2007
Active
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
4/4/2007
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
3/10/1998
1/2/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
3/10/1998
1/2/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Variable Life and Variable Annuities
5/31/2001
9/3/2004
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
10/7/2008
5/28/2024
Inactive
SAFECO Insurance Company of America
300159
Agent - General Lines
11/1/1998
8/15/2000
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
10/7/2008
5/28/2024
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
3/15/2023
5/28/2024
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - General Lines
11/1/1998
8/15/2000
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
3/15/2023
5/28/2024
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
8/1/2016
7/5/2019
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
8/1/2016
7/5/2019
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
8/1/2016
7/5/2019
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
6/5/1996
12/30/1998
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
6/5/1996
12/30/1998
Active
State Auto Property & Casualty Insurance Company
301953
Agent - Casualty
3/6/2020
Active
State Auto Property & Casualty Insurance Company
301953
Agent - Property
3/6/2020
Inactive
State Automobile Mutual Insurance Company
301824
Agent - Casualty
8/15/2000
2/11/2003
Inactive
State Automobile Mutual Insurance Company
301824
Agent - General Lines
1/23/1992
8/15/2000
Inactive
State Automobile Mutual Insurance Company
301824
Agent - Property
8/15/2000
2/11/2003
Inactive
State Life Insurance Company
301497
Agent - Health
4/25/2018
4/21/2023
Inactive
State Life Insurance Company
301497
Agent - Life
4/25/2018
4/21/2023
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Health
3/7/2019
12/25/2023
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
3/7/2019
12/25/2023
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Health
7/15/2002
8/22/2011
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Life
7/15/2002
8/22/2011
Inactive
Symetra Life Insurance Company
301691
Agent - Health
11/1/1998
5/19/2000
Inactive
Symetra Life Insurance Company
301691
Agent - Life
11/1/1998
5/19/2000
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
4/4/2007
12/24/2015
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
4/4/2007
12/24/2015
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
4/4/2007
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
4/4/2007
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
4/4/2007
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
4/4/2007
12/24/2015
Inactive
Time Insurance Company
300683
Agent - Health
3/19/2001
2/5/2003
Inactive
Time Insurance Company
300683
Agent - Life
3/19/2001
2/5/2003
Inactive
Transamerica Assurance Company
300893
Agent - Health
10/15/2001
7/2/2003
Inactive
Transamerica Assurance Company
300893
Agent - Life
10/15/2001
7/2/2003
Inactive
Transamerica Assurance Company
300893
Agent - Variable Life and Variable Annuities
10/15/2001
10/1/2004
Active
Transamerica Life Insurance Company
300571
Agent - Health
10/1/2005
Active
Transamerica Life Insurance Company
300571
Agent - Life
10/1/2005
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
10/1/2004
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Health
10/15/2001
10/1/2005
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
10/15/2001
10/1/2005
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Variable Life and Variable Annuities
10/15/2001
10/1/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
10/15/2001
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
10/15/2001
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
10/15/2001
10/1/2008
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
10/1/2014
10/1/2020
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
10/1/2014
10/1/2020
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Variable Life and Variable Annuities
10/1/2014
10/1/2020
Inactive
Transcontinental Insurance Company
301731
Agent - General Lines
2/23/1993
8/15/2000
Inactive
Transportation Insurance Company
301575
Agent - General Lines
2/23/1993
8/15/2000
Inactive
Trumbull Insurance Company
300242
Agent - Casualty
8/15/2000
11/5/2008
Inactive
Trumbull Insurance Company
300242
Agent - General Lines
7/3/1998
8/15/2000
Inactive
Trumbull Insurance Company
300242
Agent - Property
8/15/2000
11/5/2008
Inactive
Twin City Fire Insurance Company
300721
Agent - Casualty
8/15/2000
11/10/2009
Inactive
Twin City Fire Insurance Company
300721
Agent - General Lines
8/19/1993
8/15/2000
Inactive
Twin City Fire Insurance Company
300721
Agent - Property
8/15/2000
11/10/2009
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
10/1/2001
9/4/2007
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
10/1/2001
9/4/2007
Inactive
Union Security Insurance Company
301844
Agent - Health
2/25/1987
12/14/2006
Inactive
Union Security Insurance Company
301844
Agent - Life
2/25/1987
12/14/2006
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
4/3/2000
11/25/2008
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
4/3/2000
11/25/2008
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
2/9/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
2/9/1995
3/31/1997
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/1/2001
1/3/2012
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health Maintenance Organization
3/1/2000
3/1/2001
Inactive
Valley Forge Insurance Company
301052
Agent - General Lines
2/22/1993
8/15/2000
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
1/29/2001
1/6/2010
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
10/16/2017
5/18/2018
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
10/16/2017
5/18/2018
Active
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
8/28/1996
Active
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
8/28/1996
Active
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
5/31/2001
Inactive
West American Insurance Company
301112
Agent - Casualty
12/7/2011
5/28/2024
Inactive
West American Insurance Company
301112
Agent - Property
12/7/2011
5/28/2024
Inactive
West Coast Life Insurance Company
301607
Agent - Health
3/16/2010
9/18/2012
Inactive
West Coast Life Insurance Company
301607
Agent - Life
3/16/2010
9/18/2012
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Health
7/5/1995
10/1/2014
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
7/5/1995
10/1/2014
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
5/31/2001
10/1/2014
Inactive
Westfield Insurance Company
301950
Agent - General Lines
3/11/1991
11/30/1998
Inactive
Westfield National Insurance Company
301036
Agent - General Lines
3/11/1991
11/30/1998
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
7/16/1996
7/13/2011
Inactive
301729
Agent - Casualty
8/15/2000
5/31/2003
Inactive
301729
Agent - General Lines
6/25/1991
8/15/2000
Inactive
300277
Agent - Life
1/9/2001
12/15/2006
Inactive
301729
Agent - Property
8/15/2000
5/31/2003
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
4/1/1998
6/20/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
4/1/1998
6/20/2008
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/13/2013
11/2/2016
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/13/2013
11/2/2016
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Inactive
Hyland Block & Hyland Inc.
398511
Agent - General Lines
1/22/1990
8/15/2000
Inactive
Hyland Block & Hyland Inc.
398511
Agent - Life
1/22/1990
7/19/2023
Inactive
Hyland Block & Hyland Inc.
398511
Agent - Health
1/22/1990
7/19/2023
Inactive
Hyland Block & Hyland Inc.
398511
Agent - Property
8/15/2000
7/19/2023
Inactive
Hyland Block & Hyland Inc.
398511
Agent - Casualty
8/15/2000
7/19/2023
Inactive
Medlink Inc
400721
Agent - Life
9/12/2002
3/31/2024
Inactive
Medlink Inc
400721
Agent - Health
9/12/2002
3/31/2024
Active
Planchoice Inc.
400482
Agent - Life
3/5/2003
Active
Planchoice Inc.
400482
Agent - Health
3/5/2003
Active
World Financial Group Insurance Agency, LLC
400520
Agent - Life
8/9/2001
Active
World Financial Group Insurance Agency, LLC
400520
Agent - Health
8/9/2001
Active
World Financial Group Insurance Agency, LLC
400520
Agent - Variable Life and Variable Annuities
8/9/2001
Inactive
World Marketing Alliance Inc.
398156
Agent - Life
4/23/1997
3/21/2003
Inactive
World Marketing Alliance Inc.
398156
Agent - Health
4/23/1997
3/21/2003
Inactive
World Marketing Alliance Inc.
398156
Agent - Variable Life and Variable Annuities
4/2/2001
12/16/2002
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