DEPARTMENT OF INSURANCE
Affiliations
NamePolk, Dallas GDOIID350219NAIC NPN7191516
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife1/27/2011 1/31/2025
ActiveResidentAgentVariable Life and Variable Annuities1/27/2011 1/31/2025
ActiveResidentAgentHealth1/27/2011 1/31/2025
InactiveResidentAgentLimited Line Credit8/7/20001/31/2009 
InactiveResidentAgentCredit Life & Health8/16/19998/7/2000 
* 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202401/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBanc One Kentucky Insurance Company300824Agent - Credit Life & Health8/16/19998/7/2000
InactiveBanc One Kentucky Insurance Company300824Agent - Limited Line Credit8/7/20001/31/2009
InactiveChase Insurance Life and Annuity Company300518Agent - Life11/21/20034/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Variable Life and Variable Annuities11/21/20034/1/2007
InactiveEquitable Financial Life Insurance Company300808Agent - Life2/4/201112/23/2011
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities2/4/201112/23/2011
InactiveEverlake Life Insurance Company300873Agent - Life1/13/20032/1/2009
InactiveGenworth Life Insurance Company300623Agent - Life11/29/200412/4/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life11/24/20042/1/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities11/24/20042/1/2009
InactiveGlenbrook Life and Annuity Company301384Agent - Life8/23/19991/1/2005
InactiveLife Investors Insurance Company of America301793Agent - Life8/20/19999/27/2007
InactiveMetLife Investors USA Insurance Company300845Agent - Health2/10/20116/20/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life2/10/20116/20/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities2/10/20116/20/2014
ActiveNationwide Life Insurance Company300495Agent - Health2/21/2011 
ActiveNationwide Life Insurance Company300495Agent - Life2/21/2011 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities2/21/2011 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life2/21/2011 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities2/21/2011 
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life2/8/201112/4/2023
InactivePacific Life Insurance Company301848Agent - Life2/7/20118/19/2013
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities2/7/20118/19/2013
InactiveProtective Life Insurance Company300638Agent - Life4/1/20072/1/2009
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/1/20072/1/2009
InactivePruco Life Insurance Company300954Agent - Health2/4/201111/25/2020
InactivePruco Life Insurance Company300954Agent - Life2/4/201111/25/2020
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities2/4/201111/25/2020
InactiveSymetra Life Insurance Company301691Agent - Health10/7/20144/16/2015
InactiveSymetra Life Insurance Company301691Agent - Life10/7/20144/16/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/4/20042/1/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities3/4/20042/1/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/4/20042/1/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/4/20042/1/2009
ActiveTransamerica Life Insurance Company300571Agent - Life2/8/2011 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities2/8/2011 
InactiveVenerable Insurance and Annuity Company301006Agent - Life2/1/20058/27/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities2/1/20058/27/2008
InactiveWestern National Life Insurance Company300461Agent - Life8/19/19992/1/2009
InactiveWestern National Life Insurance Company300461Agent - Variable Life and Variable Annuities5/31/20012/1/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveChase Insurance Agency, Inc.398324Agent - Life7/24/2019 
ActiveChase Insurance Agency, Inc.398324Agent - Variable Life and Variable Annuities7/24/2019 
ActiveChase Insurance Agency, Inc.398324Agent - Health7/24/2019 

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