DEPARTMENT OF INSURANCE
Affiliations
NameSimon, Gary LouisDOIID345821NAIC NPN7189567
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentVariable Life and Variable Annuities   
InactiveResidentAgentGeneral Lines12/31/19918/15/2000 
InactiveResidentAgentProperty9/17/20123/1/2016 
InactiveResidentAgentLife9/17/20123/1/2016 
InactiveResidentAgentHealth9/17/20123/1/2016 
InactiveResidentAgentCasualty9/17/20123/1/2016 
* 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 - Health8/5/200210/8/2003
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/5/200210/8/2003
InactiveAmerican General Life Insurance Company301585Agent - Health10/23/20025/30/2003
InactiveAmerican General Life Insurance Company301585Agent - Life10/23/20025/30/2003
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health5/29/19912/15/2002
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life5/29/19912/15/2002
InactiveAmerican Home Assurance Company300246Agent - Casualty8/15/200012/31/2006
InactiveAmerican Home Assurance Company300246Agent - General Lines12/31/19918/15/2000
InactiveAmerican Home Assurance Company300246Agent - Property8/15/200012/31/2006
InactiveAmerican United Life Insurance Company300498Agent - Health5/31/199012/31/2006
InactiveAmerican United Life Insurance Company300498Agent - Life5/31/199012/31/2006
InactiveBanner Life Insurance Company301696Agent - Life9/8/20081/1/2009
InactiveBoston Mutual Life Insurance Company300143Agent - Health8/31/200412/31/2006
InactiveBoston Mutual Life Insurance Company300143Agent - Life8/31/200412/31/2006
InactiveC.M. Life Insurance Company301335Agent - Health9/1/200412/31/2006
InactiveC.M. Life Insurance Company301335Agent - Life9/1/200412/31/2006
InactiveColonial Life and Accident Insurance Company300846Agent - Health8/8/200412/31/2006
InactiveColonial Life and Accident Insurance Company300846Agent - Life8/8/200412/31/2006
InactiveCommerce and Industry Insurance Company300881Agent - General Lines12/31/19913/31/1996
InactiveFirst Colony Life Insurance Company301179Agent - Health8/31/20041/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life8/31/20041/1/2007
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health12/11/20071/1/2009
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life2/2/20113/1/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities2/2/20113/1/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health11/28/20121/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/28/20121/7/2014
InactiveHorace Mann Life Insurance Company300852Agent - Health2/11/20051/22/2007
InactiveHorace Mann Life Insurance Company300852Agent - Life2/11/20051/22/2007
InactiveHorace Mann Life Insurance Company300852Agent - Variable Life and Variable Annuities2/11/20051/22/2007
InactiveKentucky Association of Counties - All Lines Fund300006Agent - General Lines4/28/19993/30/2000
InactiveLawyers Mutual Insurance Company of Kentucky300173Agent - General Lines11/23/19944/3/2000
InactiveLincoln National Life Insurance Company (The)301382Agent - Health2/12/200412/31/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Life2/12/200412/31/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities2/12/200412/31/2006
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/1/200412/31/2006
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life9/1/200412/31/2006
InactiveMedAmerica Insurance Company301568Agent - Health9/11/200612/31/2006
InactiveMetLife Investors USA Insurance Company300845Agent - Health9/17/20081/1/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life9/17/20081/1/2009
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines12/31/19913/31/1996
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health10/23/20023/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life10/23/20023/31/2003
InactivePrincipal Life Insurance Company300129Agent - Health9/10/19905/20/1999
InactivePrincipal Life Insurance Company300129Agent - Life9/10/19905/20/1999
InactivePruco Life Insurance Company300954Agent - Health2/2/20113/1/2012
InactivePruco Life Insurance Company300954Agent - Life2/2/20113/1/2012
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities2/2/20113/1/2012
InactiveReliaStar Life Insurance Company301712Agent - Health1/5/20153/1/2016
InactiveReliaStar Life Insurance Company301712Agent - Life1/5/20153/1/2016
InactiveReliance Standard Life Insurance Company300584Agent - Health11/6/19923/31/1997
InactiveReliance Standard Life Insurance Company300584Agent - Life11/6/19923/31/1997
InactiveTalcott Resolution Life Insurance Company301759Agent - Health4/7/200312/31/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Life4/7/200312/31/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities4/7/200312/31/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health4/7/200312/31/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life4/7/200312/31/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities4/7/200312/31/2006
InactiveTransamerica Life Insurance Company300571Agent - Life10/22/20101/1/2011
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities10/22/20101/1/2011
InactiveUnion Security Insurance Company301844Agent - Health3/4/19913/31/1997
InactiveUnion Security Insurance Company301844Agent - Life3/4/19913/31/1997
InactiveVariable Annuity Life Insurance Company301341Agent - Variable Life and Variable Annuities12/24/20023/24/2003
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/7/200512/20/2006
InactiveWilco Life Insurance Company300122Agent - Health8/17/19928/26/1996
InactiveWilco Life Insurance Company300122Agent - Life8/17/19928/26/1996
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCreative Employee Benefits, Inc.400416Agent - Life1/26/200512/31/2006
InactiveCreative Employee Benefits, Inc.400416Agent - Health1/26/200512/31/2006
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Life2/17/20113/1/2012
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Health2/17/20113/1/2012
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Variable Life and Variable Annuities2/17/20113/1/2012

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