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DEPARTMENT OF INSURANCE
Affiliations
Name
Polk, Dallas G
DOIID
350219
NAIC NPN
7191516
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
1/27/2011
1/31/2027
Active
Resident
Agent
Health
1/27/2011
1/31/2027
Active
Resident
Agent
Variable Life and Variable Annuities
1/27/2011
1/31/2027
Inactive
Resident
Agent
Credit Life & Health
8/16/1999
8/7/2000
Inactive
Resident
Agent
Limited Line Credit
8/7/2000
1/31/2009
* 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
Banc One Kentucky Insurance Company
300824
Agent - Credit Life & Health
8/16/1999
8/7/2000
Inactive
Banc One Kentucky Insurance Company
300824
Agent - Limited Line Credit
8/7/2000
1/31/2009
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
11/21/2003
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Variable Life and Variable Annuities
11/21/2003
4/1/2007
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
2/4/2011
12/23/2011
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
2/4/2011
12/23/2011
Inactive
Everlake Life Insurance Company
300873
Agent - Life
1/13/2003
2/1/2009
Inactive
Genworth Life Insurance Company
300623
Agent - Life
11/29/2004
12/4/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
11/24/2004
2/1/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
11/24/2004
2/1/2009
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
8/23/1999
1/1/2005
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
8/20/1999
9/27/2007
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
2/10/2011
6/20/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
2/10/2011
6/20/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
2/10/2011
6/20/2014
Active
Nationwide Life Insurance Company
300495
Agent - Health
2/21/2011
Active
Nationwide Life Insurance Company
300495
Agent - Life
2/21/2011
Active
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
2/21/2011
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
2/21/2011
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
2/21/2011
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
2/8/2011
12/4/2023
Inactive
Pacific Life Insurance Company
301848
Agent - Life
2/7/2011
8/19/2013
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
2/7/2011
8/19/2013
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
2/1/2009
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
4/1/2007
2/1/2009
Inactive
Pruco Life Insurance Company
300954
Agent - Health
2/4/2011
11/25/2020
Inactive
Pruco Life Insurance Company
300954
Agent - Life
2/4/2011
11/25/2020
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
2/4/2011
11/25/2020
Inactive
Symetra Life Insurance Company
301691
Agent - Health
10/7/2014
4/16/2015
Inactive
Symetra Life Insurance Company
301691
Agent - Life
10/7/2014
4/16/2015
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
3/4/2004
2/1/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
3/4/2004
2/1/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
3/4/2004
2/1/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
3/4/2004
2/1/2009
Active
Transamerica Life Insurance Company
300571
Agent - Life
2/8/2011
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
2/8/2011
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
2/1/2005
8/27/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
2/1/2005
8/27/2008
Inactive
Western National Life Insurance Company
300461
Agent - Life
8/19/1999
2/1/2009
Inactive
Western National Life Insurance Company
300461
Agent - Variable Life and Variable Annuities
5/31/2001
2/1/2009
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Chase Insurance Agency, Inc.
398324
Agent - Life
7/24/2019
Active
Chase Insurance Agency, Inc.
398324
Agent - Variable Life and Variable Annuities
7/24/2019
Active
Chase Insurance Agency, Inc.
398324
Agent - Health
7/24/2019
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