DEPARTMENT OF INSURANCE
Affiliations
NameRich, Jeffrey WilsonDOIID344252NAIC NPN1092778
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth12/8/1986 5/31/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities5/31/2001 5/31/2025
ActiveNon ResidentAgentLife12/8/1986 5/31/2025
InactiveNon ResidentAgentHealth Maintenance Organization8/17/19993/1/2001 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health10/12/20003/29/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life10/12/20003/29/2022
InactiveAugustar Life Assurance Corporation301113Agent - Health6/21/20023/16/2004
InactiveAugustar Life Assurance Corporation301113Agent - Life6/21/20023/16/2004
InactiveBanner Life Insurance Company301696Agent - Life7/6/201212/5/2016
InactiveClarendon National Insurance Company300843Agent - Health10/25/200110/28/2003
ActiveCombined Insurance Company of America301472Agent - Health5/31/2017 
ActiveCombined Insurance Company of America301472Agent - Life5/31/2017 
InactiveDelaware Life Insurance Company301256Agent - Life10/1/200112/11/2006
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities10/1/200111/18/2002
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20098/31/2011
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health6/17/199912/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life6/17/199912/23/2008
InactiveGenworth Life Insurance Company300623Agent - Health7/8/200212/4/2007
InactiveGenworth Life Insurance Company300623Agent - Life7/8/200212/4/2007
InactiveHCSC Insurance Services Company301441Agent - Health1/8/19973/31/1999
InactiveHCSC Insurance Services Company301441Agent - Life1/8/19973/31/1999
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20018/31/2011
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization8/17/19993/1/2001
InactiveJohn Alden Life Insurance Company300573Agent - Health4/12/20015/28/2002
InactiveJohn Alden Life Insurance Company300573Agent - Life4/12/20015/28/2002
InactiveJohn Hancock Life Insurance Company300821Agent - Health6/4/20036/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life6/4/20036/7/2008
InactiveKanawha Insurance Company300127Agent - Health4/11/20088/31/2011
InactiveKanawha Insurance Company300127Agent - Life4/11/20088/31/2011
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/24/20014/23/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/24/20014/23/2018
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life1/31/20003/16/2001
InactiveNassau Life Insurance Company301406Agent - Life9/19/20012/13/2004
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities9/19/20012/13/2004
InactiveNationwide Life Insurance Company300495Agent - Health9/25/200112/17/2020
InactiveNationwide Life Insurance Company300495Agent - Life9/25/200112/17/2020
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities9/25/200112/17/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life2/15/200212/17/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities2/15/200212/17/2020
ActiveNorthwestern Long Term Care Insurance Company300135Agent - Health12/5/2000 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Health12/8/1986 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Life12/8/1986 
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Variable Life and Variable Annuities5/31/20011/3/2022
InactivePHL Variable Insurance Company300525Agent - Life7/5/200712/29/2010
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities7/5/200712/29/2010
InactivePaul Revere Life Insurance Company300971Agent - Health12/28/19958/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life12/28/199512/7/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/18/200312/7/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/18/200312/7/2005
InactivePruco Life Insurance Company300954Agent - Health12/17/200111/26/2002
InactivePruco Life Insurance Company300954Agent - Life6/20/201212/26/2018
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities12/26/200111/26/2002
InactivePrudential Insurance Company of America300784Agent - Health12/17/200111/26/2002
InactivePrudential Insurance Company of America300784Agent - Life12/17/200111/26/2002
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities12/26/200111/26/2002
InactiveStandard Insurance Company300185Agent - Health8/11/200412/5/2022
InactiveStandard Insurance Company300185Agent - Life8/11/200412/5/2022
InactiveTalcott Resolution Life Insurance Company301759Agent - Health12/18/199712/7/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life12/18/199712/7/2009
InactiveU.S. Financial Life Insurance Company301812Agent - Life9/1/200510/3/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health8/18/200312/7/2005
InactiveUNUM Life Insurance Company of America300817Agent - Life8/18/200312/7/2005
InactiveUnion Central Life Insurance Company300307Agent - Health8/27/20107/15/2012
InactiveUnion Central Life Insurance Company300307Agent - Life8/27/20107/15/2012
InactiveUnion Security Insurance Company301844Agent - Health5/28/199312/28/2007
InactiveUnion Security Insurance Company301844Agent - Life5/28/199312/28/2007
InactiveWest Coast Life Insurance Company301607Agent - Life6/19/200312/22/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveQuiet Benefits Agency Inc.398115Agent - Life4/6/19903/31/1997
InactiveQuiet Benefits Agency Inc.398115Agent - Health4/6/19903/31/1997

© Commonwealth of Kentucky. All rights reserved.