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DEPARTMENT OF INSURANCE
Affiliations
Name
Wickersham, David R
DOIID
355297
NAIC NPN
366525
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
10/8/1997
1/31/2022
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
4/15/2004
1/31/2022
Inactive
Non Resident
Agent
Health
10/8/1997
1/31/2022
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
1/14/2005
1/31/2022
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
1/14/2005
1/31/2022
Inactive
American General Life Insurance Company
301585
Agent - Health
8/2/2002
1/31/2022
Inactive
American General Life Insurance Company
301585
Agent - Life
8/2/2002
1/31/2022
Inactive
American National Insurance Company
301861
Agent - Life
6/9/2020
1/31/2022
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
12/28/2016
11/3/2018
Inactive
Assurity Life Insurance Company
301099
Agent - Health
7/20/2011
9/4/2019
Inactive
Assurity Life Insurance Company
301099
Agent - Life
7/20/2011
9/4/2019
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
10/14/2003
8/10/2015
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
10/14/2003
8/10/2015
Inactive
Athene Annuity and Life Company
301893
Agent - Life
8/29/2013
2/4/2015
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/7/2007
2/9/2010
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
12/7/2007
2/9/2010
Inactive
C.M. Life Insurance Company
301335
Agent - Health
3/18/2005
11/14/2012
Inactive
C.M. Life Insurance Company
301335
Agent - Life
3/18/2005
11/14/2012
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/31/2003
1/31/2022
Inactive
Empower Annuity Insurance Company
300168
Agent - Health
6/29/2006
1/31/2022
Inactive
Empower Annuity Insurance Company
300168
Agent - Life
6/29/2006
1/31/2022
Inactive
Empower Annuity Insurance Company
300168
Agent - Variable Life and Variable Annuities
6/29/2006
1/31/2022
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
2/5/2004
12/24/2020
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
10/1/2003
3/2/2009
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
2/1/2010
3/7/2018
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
9/26/2001
12/26/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
9/26/2001
12/26/2008
Inactive
General American Life Insurance Company
300280
Agent - Health
5/10/2005
11/14/2009
Inactive
General American Life Insurance Company
300280
Agent - Life
5/10/2005
11/14/2009
Inactive
General American Life Insurance Company
300280
Agent - Variable Life and Variable Annuities
5/10/2005
11/14/2009
Inactive
Genworth Life Insurance Company
300623
Agent - Health
1/1/2005
12/14/2016
Inactive
Genworth Life Insurance Company
300623
Agent - Life
1/1/2005
12/14/2016
Inactive
Gerber Life Insurance Company
300529
Agent - Health
10/6/2015
10/29/2019
Inactive
Gerber Life Insurance Company
300529
Agent - Life
10/6/2015
10/29/2019
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
4/5/2004
1/31/2022
Inactive
Integrity Life Insurance Company
301687
Agent - Health
11/24/2003
11/17/2008
Inactive
Integrity Life Insurance Company
301687
Agent - Life
1/10/2017
1/31/2022
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
1/10/2017
1/31/2022
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
10/25/2004
6/7/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
10/25/2004
6/7/2008
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
10/25/2004
12/14/2006
Inactive
Keyport Life Insurance Company
300319
Agent - Life
10/8/2003
12/31/2003
Inactive
Life Insurance Company of the Southwest
301867
Agent - Health
5/13/2015
8/9/2017
Inactive
Life Insurance Company of the Southwest
301867
Agent - Life
5/13/2015
8/9/2017
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Life
2/21/2013
11/19/2015
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
2/24/2011
3/29/2022
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
2/24/2011
3/29/2022
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
2/24/2011
3/29/2022
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
3/18/2005
11/14/2012
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
3/18/2005
11/14/2012
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
5/10/2005
11/14/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
5/10/2005
11/14/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
5/10/2005
11/14/2009
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
8/4/2005
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Variable Life and Variable Annuities
8/4/2005
12/7/2007
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
10/5/2004
11/27/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
10/5/2004
11/27/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
5/10/2005
11/27/2009
Inactive
National Western Life Insurance Company
301515
Agent - Health
9/24/2003
6/22/2006
Inactive
National Western Life Insurance Company
301515
Agent - Life
9/24/2003
6/22/2006
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
11/24/2004
11/16/2006
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
11/24/2004
11/16/2006
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
11/24/2004
11/16/2006
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
11/29/2004
11/16/2006
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
11/29/2004
11/16/2006
Inactive
New England Life Insurance Company
300343
Agent - Health
5/10/2005
11/14/2009
Inactive
New England Life Insurance Company
300343
Agent - Life
5/10/2005
11/14/2009
Inactive
New England Life Insurance Company
300343
Agent - Variable Life and Variable Annuities
5/10/2005
11/14/2009
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
5/7/2014
3/5/2021
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
5/7/2014
3/5/2021
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
5/7/2014
3/5/2021
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
8/6/2015
3/8/2022
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
8/1/2002
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
8/1/2002
3/31/2003
Inactive
Physicians Life Insurance Company
300924
Agent - Life
3/29/2004
12/12/2006
Inactive
Protective Life Insurance Company
300638
Agent - Health
7/25/2012
1/31/2022
Inactive
Protective Life Insurance Company
300638
Agent - Life
7/25/2012
1/31/2022
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
7/25/2012
1/31/2022
Inactive
Pruco Life Insurance Company
300954
Agent - Health
11/21/2008
1/31/2022
Inactive
Pruco Life Insurance Company
300954
Agent - Life
11/21/2008
1/31/2022
Inactive
Prudential Insurance Company of America
300784
Agent - Health
5/1/2009
1/31/2022
Inactive
Prudential Insurance Company of America
300784
Agent - Life
5/1/2009
1/31/2022
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
12/31/2008
3/9/2018
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
12/31/2008
3/9/2018
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
12/31/2008
3/9/2018
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
6/23/2011
4/13/2017
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
6/23/2011
4/13/2017
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
6/23/2011
4/13/2017
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
4/3/2009
1/31/2022
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
4/3/2009
1/31/2022
Inactive
West Coast Life Insurance Company
301607
Agent - Health
11/2/2009
11/16/2011
Inactive
West Coast Life Insurance Company
301607
Agent - Life
11/2/2009
11/16/2011
Inactive
Western National Life Insurance Company
300461
Agent - Life
8/15/2002
7/7/2008
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
CCP Financial, LLC
601525
Agent - Life
1/19/2005
3/31/2009
Inactive
CCP Financial, LLC
601525
Agent - Health
1/19/2005
3/31/2009
Inactive
The Leaders Group Inc
401138
Agent - Life
12/16/2020
1/6/2021
Inactive
The Leaders Group Inc
401138
Agent - Health
12/16/2020
1/6/2021
Inactive
The Leaders Group Inc
401138
Agent - Variable Life and Variable Annuities
12/16/2020
1/6/2021
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