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DEPARTMENT OF INSURANCE
Affiliations
Name
Dickerson, Daniel W
DOIID
353774
NAIC NPN
2820723
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
7/23/1993
7/1/2008
Inactive
Resident
Agent
Variable Life and Variable Annuities
10/15/2001
7/1/2008
Inactive
Resident
Agent
Life
7/22/1993
7/1/2008
* 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
Allianz Life Insurance Company of North America
301791
Agent - Health
7/21/1999
7/1/2008
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
7/21/1999
7/1/2008
Inactive
American National Insurance Company
301861
Agent - Health
9/14/1993
1/26/1996
Inactive
American National Insurance Company
301861
Agent - Life
9/14/1993
1/26/1996
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Health
5/4/1994
1/24/2007
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
5/4/1994
1/13/2005
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Variable Life and Variable Annuities
10/29/2001
1/13/2005
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Health
1/29/2001
7/1/2008
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Life
1/29/2001
7/1/2008
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Variable Life and Variable Annuities
10/15/2001
7/1/2008
Inactive
Assurity Life Insurance Company
301099
Agent - Health
3/27/2000
12/19/2000
Inactive
Assurity Life Insurance Company
301099
Agent - Life
3/27/2000
12/19/2000
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Health
3/15/1996
3/31/1997
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Life
3/15/1996
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
2/8/1994
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
2/8/1994
4/1/2007
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
10/30/2001
12/31/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
10/30/2001
12/31/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
10/30/2001
12/31/2005
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
2/13/1997
12/15/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
2/13/1997
12/15/1998
Inactive
Delaware Life Insurance Company
301256
Agent - Health
12/31/2003
7/1/2008
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/31/2003
7/1/2008
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Life
12/21/1994
1/1/2004
Inactive
Everlake Life Insurance Company
300873
Agent - Life
7/6/1999
3/31/2003
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
2/7/2000
7/1/2008
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
2/7/2000
7/1/2008
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Health
3/27/1995
7/1/2008
Inactive
Fidelity Security Life Insurance Company
300466
Agent - Life
3/27/1995
7/1/2008
Inactive
First Variable Life Insurance Company
300644
Agent - Life
12/21/1999
3/31/2003
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Health
12/27/1994
7/1/2008
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
12/27/1994
12/13/2004
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
10/29/2001
12/13/2004
Inactive
ING Insurance Company of America
301507
Agent - Life
6/12/1996
12/31/2005
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
8/6/1993
9/6/1996
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
8/6/1993
9/6/1996
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Health
3/15/1995
7/1/2008
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Life
3/15/1995
7/1/2008
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
4/17/1997
4/10/2000
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
5/4/1994
5/22/2000
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
5/4/1994
5/22/2000
Inactive
Kentucky Home Life Insurance Company
300477
Agent - Health
11/24/1998
5/20/2002
Inactive
Kentucky Home Life Insurance Company
300477
Agent - Life
11/24/1998
5/20/2002
Inactive
Keyport Life Insurance Company
300319
Agent - Health
1/5/1994
12/31/2003
Inactive
Keyport Life Insurance Company
300319
Agent - Life
1/5/1994
12/31/2003
Inactive
LifeUSA Insurance Company
300386
Agent - Health
6/4/1998
8/2/2002
Inactive
LifeUSA Insurance Company
300386
Agent - Life
6/4/1998
8/2/2002
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
5/12/1994
6/19/2000
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
5/21/2001
12/15/2003
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
5/21/2001
12/15/2003
Inactive
National Guardian Life Insurance Company
300596
Agent - Health
7/23/1993
12/1/1998
Inactive
National Guardian Life Insurance Company
300596
Agent - Life
7/23/1993
12/1/1998
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
10/26/2001
12/30/2002
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
10/26/2001
12/30/2002
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
10/26/2001
12/30/2002
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
3/21/1996
10/12/1999
Inactive
Pacific Life Insurance Company
301848
Agent - Life
4/1/1997
7/1/2008
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
10/30/2001
7/1/2008
Inactive
Principal Life Insurance Company
300129
Agent - Health
2/14/2000
7/1/2008
Inactive
Principal Life Insurance Company
300129
Agent - Life
2/14/2000
7/1/2008
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/1/2007
7/1/2008
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
7/1/2008
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
1/11/1995
3/31/1997
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
1/11/1995
3/31/1997
Inactive
Reliance Insurance Company
300785
Agent - Health
5/8/1995
4/12/1996
Inactive
Security Life Insurance Company of America
300936
Agent - Health
2/7/1997
1/22/2003
Inactive
Security Life Insurance Company of America
300936
Agent - Life
2/7/1997
1/22/2003
Inactive
Southern Financial Life Insurance Company
300664
Agent - Health
10/7/2002
7/1/2008
Inactive
Southern Financial Life Insurance Company
300664
Agent - Life
10/7/2002
7/1/2008
Inactive
Southland Life Insurance Company
301175
Agent - Health
12/3/2001
9/15/2004
Inactive
Southland Life Insurance Company
301175
Agent - Life
12/3/2001
9/15/2004
Inactive
Southland Life Insurance Company
301175
Agent - Variable Life and Variable Annuities
12/3/2001
9/15/2004
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
5/16/2001
2/10/2007
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
5/16/2001
2/10/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
5/16/2001
2/10/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
5/16/2001
2/10/2007
Inactive
USG Annuity & Life Company
300457
Agent - Life
7/22/1993
6/17/2002
Inactive
Union Security Insurance Company
301844
Agent - Health
7/27/1993
11/17/2003
Inactive
Union Security Insurance Company
301844
Agent - Life
7/27/1993
5/11/2001
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
9/2/1997
7/1/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
9/11/1996
12/12/2006
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
9/11/1996
12/12/2006
Inactive
Washington National Insurance Company
300587
Agent - Health
8/30/1994
3/31/1997
Inactive
Washington National Insurance Company
300587
Agent - Life
8/30/1994
3/31/1997
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
FFP Securities Inc.
398147
Agent - Health
8/8/1994
2/27/2007
Inactive
FFP Securities Inc.
398147
Agent - Life
8/8/1994
2/27/2007
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