DEPARTMENT OF INSURANCE
Affiliations
NameWickersham, David RDOIID355297NAIC NPN366525
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife10/8/19971/31/2022 
InactiveNon ResidentAgentVariable Life and Variable Annuities4/15/20041/31/2022 
InactiveNon ResidentAgentHealth10/8/19971/31/2022 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/14/20051/31/2022
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities1/14/20051/31/2022
InactiveAmerican General Life Insurance Company301585Agent - Health8/2/20021/31/2022
InactiveAmerican General Life Insurance Company301585Agent - Life8/2/20021/31/2022
InactiveAmerican National Insurance Company301861Agent - Life6/9/20201/31/2022
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life12/28/201611/3/2018
InactiveAssurity Life Insurance Company301099Agent - Health7/20/20119/4/2019
InactiveAssurity Life Insurance Company301099Agent - Life7/20/20119/4/2019
InactiveAthene Annuity & Life Assurance Company301798Agent - Health10/14/20038/10/2015
InactiveAthene Annuity & Life Assurance Company301798Agent - Life10/14/20038/10/2015
InactiveAthene Annuity and Life Company301893Agent - Life8/29/20132/4/2015
InactiveBrighthouse Life Insurance Company301829Agent - Life12/7/20072/9/2010
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities12/7/20072/9/2010
InactiveC.M. Life Insurance Company301335Agent - Health3/18/200511/14/2012
InactiveC.M. Life Insurance Company301335Agent - Life3/18/200511/14/2012
InactiveDelaware Life Insurance Company301256Agent - Life12/31/20031/31/2022
InactiveEmpower Annuity Insurance Company300168Agent - Health6/29/20061/31/2022
InactiveEmpower Annuity Insurance Company300168Agent - Life6/29/20061/31/2022
InactiveEmpower Annuity Insurance Company300168Agent - Variable Life and Variable Annuities6/29/20061/31/2022
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life2/5/200412/24/2020
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life10/1/20033/2/2009
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life2/1/20103/7/2018
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health9/26/200112/26/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life9/26/200112/26/2008
InactiveGeneral American Life Insurance Company300280Agent - Health5/10/200511/14/2009
InactiveGeneral American Life Insurance Company300280Agent - Life5/10/200511/14/2009
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities5/10/200511/14/2009
InactiveGenworth Life Insurance Company300623Agent - Health1/1/200512/14/2016
InactiveGenworth Life Insurance Company300623Agent - Life1/1/200512/14/2016
InactiveGerber Life Insurance Company300529Agent - Health10/6/201510/29/2019
InactiveGerber Life Insurance Company300529Agent - Life10/6/201510/29/2019
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life4/5/20041/31/2022
InactiveIntegrity Life Insurance Company301687Agent - Health11/24/200311/17/2008
InactiveIntegrity Life Insurance Company301687Agent - Life1/10/20171/31/2022
InactiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities1/10/20171/31/2022
InactiveJohn Hancock Life Insurance Company300821Agent - Health10/25/20046/7/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life10/25/20046/7/2008
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life10/25/200412/14/2006
InactiveKeyport Life Insurance Company300319Agent - Life10/8/200312/31/2003
InactiveLife Insurance Company of the Southwest301867Agent - Health5/13/20158/9/2017
InactiveLife Insurance Company of the Southwest301867Agent - Life5/13/20158/9/2017
InactiveLincoln Life Assurance Company of Boston301915Agent - Life2/21/201311/19/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Health2/24/20113/29/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Life2/24/20113/29/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities2/24/20113/29/2022
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health3/18/200511/14/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life3/18/200511/14/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Health5/10/200511/14/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life5/10/200511/14/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities5/10/200511/14/2009
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life8/4/200512/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities8/4/200512/7/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health10/5/200411/27/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life10/5/200411/27/2009
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities5/10/200511/27/2009
InactiveNational Western Life Insurance Company301515Agent - Health9/24/20036/22/2006
InactiveNational Western Life Insurance Company301515Agent - Life9/24/20036/22/2006
InactiveNationwide Life Insurance Company300495Agent - Health11/24/200411/16/2006
InactiveNationwide Life Insurance Company300495Agent - Life11/24/200411/16/2006
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities11/24/200411/16/2006
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life11/29/200411/16/2006
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities11/29/200411/16/2006
InactiveNew England Life Insurance Company300343Agent - Health5/10/200511/14/2009
InactiveNew England Life Insurance Company300343Agent - Life5/10/200511/14/2009
InactiveNew England Life Insurance Company300343Agent - Variable Life and Variable Annuities5/10/200511/14/2009
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health5/7/20143/5/2021
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life5/7/20143/5/2021
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities5/7/20143/5/2021
InactiveNorth American Company for Life and Health Insurance300291Agent - Life8/6/20153/8/2022
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health8/1/20023/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life8/1/20023/31/2003
InactivePhysicians Life Insurance Company300924Agent - Life3/29/200412/12/2006
InactiveProtective Life Insurance Company300638Agent - Health7/25/20121/31/2022
InactiveProtective Life Insurance Company300638Agent - Life7/25/20121/31/2022
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities7/25/20121/31/2022
InactivePruco Life Insurance Company300954Agent - Health11/21/20081/31/2022
InactivePruco Life Insurance Company300954Agent - Life11/21/20081/31/2022
InactivePrudential Insurance Company of America300784Agent - Health5/1/20091/31/2022
InactivePrudential Insurance Company of America300784Agent - Life5/1/20091/31/2022
InactiveReliaStar Life Insurance Company301712Agent - Health12/31/20083/9/2018
InactiveReliaStar Life Insurance Company301712Agent - Life12/31/20083/9/2018
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities12/31/20083/9/2018
InactiveSecurity Life of Denver Insurance Company300648Agent - Health6/23/20114/13/2017
InactiveSecurity Life of Denver Insurance Company300648Agent - Life6/23/20114/13/2017
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities6/23/20114/13/2017
InactiveTransamerica Life Insurance Company300571Agent - Health4/3/20091/31/2022
InactiveTransamerica Life Insurance Company300571Agent - Life4/3/20091/31/2022
InactiveWest Coast Life Insurance Company301607Agent - Health11/2/200911/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life11/2/200911/16/2011
InactiveWestern National Life Insurance Company300461Agent - Life8/15/20027/7/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCCP Financial, LLC601525Agent - Life1/19/20053/31/2009
InactiveCCP Financial, LLC601525Agent - Health1/19/20053/31/2009
InactiveThe Leaders Group Inc401138Agent - Life12/16/20201/6/2021
InactiveThe Leaders Group Inc401138Agent - Health12/16/20201/6/2021
InactiveThe Leaders Group Inc401138Agent - Variable Life and Variable Annuities12/16/20201/6/2021

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