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DEPARTMENT OF INSURANCE
Affiliations
Name
Grossman, Keith J
DOIID
355867
NAIC NPN
1451711
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Variable Life and Variable Annuities
1/7/2025
7/31/2027
Active
Non Resident
Agent
Life
1/7/2025
7/31/2027
* 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
8/28/1996
4/29/2021
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
5/31/2001
4/23/2021
Active
Athene Annuity and Life Company
301893
Agent - Life
1/28/2025
Active
Athene Annuity and Life Company
301893
Agent - Variable Life and Variable Annuities
1/28/2025
Inactive
Augustar Life Insurance Company
301816
Agent - Life
11/30/2004
11/11/2010
Inactive
Augustar Life Insurance Company
301816
Agent - Variable Life and Variable Annuities
11/30/2004
11/11/2010
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
7/31/2023
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
7/31/2023
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
7/25/2003
12/23/2011
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
7/25/2003
12/23/2011
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
9/26/2008
4/29/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
9/26/2008
4/29/2009
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
3/6/2007
7/31/2023
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
3/6/2007
7/31/2023
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
4/4/2003
4/18/2012
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
4/4/2003
4/18/2012
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
10/5/2007
8/3/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
10/5/2007
8/3/2018
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
5/22/1996
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
9/10/2004
11/14/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Life
10/2/1996
12/23/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
5/31/2001
12/23/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Life
11/15/1993
12/23/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
5/31/2001
12/23/2014
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
6/16/1994
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
5/31/2001
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
3/11/1997
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
5/31/2001
11/16/2011
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
5/3/2005
8/3/2011
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
5/3/2005
5/7/2013
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
7/11/2003
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
7/10/2003
10/1/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
9/25/2002
8/27/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
9/25/2002
8/27/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
4/12/2005
8/27/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
4/12/2005
8/27/2008
Inactive
Western National Life Insurance Company
300461
Agent - Life
4/7/2008
9/25/2012
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Prudential Equity Group, LLC
399017
Agent - Life
2/16/2004
3/4/2005
Inactive
Prudential Equity Group, LLC
399017
Agent - Variable Life and Variable Annuities
2/16/2004
3/4/2005
Active
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Life
3/5/2025
Active
Wells Fargo Advisors Insurance Agency LLC
399972
Agent - Variable Life and Variable Annuities
3/5/2025
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