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DEPARTMENT OF INSURANCE
Affiliations
Name
Long, Patricia Mary
DOIID
365909
NAIC NPN
5954995
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Health
6/1/2005
2/28/2027
Active
Resident
Agent
Variable Life and Variable Annuities
6/1/2005
2/28/2027
Active
Resident
Agent
Life
6/1/2005
2/28/2027
Inactive
Resident
Agent
Credit Life & Health
3/5/1998
8/7/2000
Inactive
Resident
Agent
Limited Line Credit
8/7/2000
3/31/2005
Inactive
Resident
Temporary Agent
Ordinary Life (Temporary Life)
5/10/1999
5/21/1999
* 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.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
12/15/2024
02/28/2025
01/12/2025
01/12/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Banner Life Insurance Company
301696
Agent - Life
10/29/1999
10/14/2003
Inactive
Continental Casualty Company
301019
Agent - Health
8/11/1999
11/29/2004
Inactive
Delaware Life Insurance Company
301256
Agent - Life
11/22/2006
5/4/2007
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
11/22/2006
5/4/2007
Inactive
Everlake Life Insurance Company
300873
Agent - Life
1/13/2003
3/5/2003
Inactive
First Colony Life Insurance Company
301179
Agent - Life
9/2/1999
7/14/2004
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
8/25/1999
3/31/2005
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
8/25/1999
3/31/2005
Inactive
Genworth Life Insurance Company
300623
Agent - Health
12/4/1999
12/22/2003
Inactive
Genworth Life Insurance Company
300623
Agent - Life
12/4/1999
12/22/2003
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
7/30/1999
3/31/2005
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
7/30/1999
3/31/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
12/27/2000
3/5/2003
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
3/31/2001
3/5/2003
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
7/23/1999
4/9/2001
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
7/23/1999
4/9/2001
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Credit Life & Health
3/5/1998
8/7/2000
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Limited Line Credit
8/7/2000
3/31/2005
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
6/20/2005
10/27/2008
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
6/20/2005
10/27/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
3/6/2007
5/22/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
3/6/2007
5/22/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/19/2008
12/13/2013
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
9/19/2008
12/13/2013
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
8/4/1999
3/31/2005
Inactive
Keyport Life Insurance Company
300319
Agent - Life
7/13/2001
12/31/2003
Inactive
Keyport Life Insurance Company
300319
Agent - Variable Life and Variable Annuities
7/13/2001
12/31/2003
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
12/18/2000
4/10/2003
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
6/16/2005
11/27/2008
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
6/16/2005
11/27/2008
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
6/16/2005
11/27/2008
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
6/16/2005
11/27/2008
Inactive
Pacific Life Insurance Company
301848
Agent - Life
6/16/2005
4/5/2010
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
6/16/2005
4/5/2010
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
6/2/1999
12/11/2002
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
6/2/1999
12/11/2002
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
6/2/1999
10/24/2003
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
6/2/1999
10/24/2003
Inactive
Pruco Life Insurance Company
300954
Agent - Health
5/21/1999
11/16/2000
Inactive
Pruco Life Insurance Company
300954
Agent - Life
5/21/1999
11/16/2000
Inactive
Prudential Insurance Company of America
300784
Agent - Health
5/21/1999
11/16/2000
Inactive
Prudential Insurance Company of America
300784
Agent - Life
5/21/1999
11/16/2000
Inactive
Prudential Insurance Company of America
300784
Temporary Agent - Ordinary Life (Temporary Life)
5/10/1999
5/21/1999
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
6/16/2005
1/1/2009
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
6/16/2005
1/1/2009
Active
TIAA-CREF Life Insurance Company
556577
Agent - Health
9/17/2008
Active
TIAA-CREF Life Insurance Company
556577
Agent - Life
9/17/2008
Active
TIAA-CREF Life Insurance Company
556577
Agent - Variable Life and Variable Annuities
9/17/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
6/15/2005
12/5/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
6/15/2005
12/5/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
6/15/2005
12/5/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
6/15/2005
12/5/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
6/15/2005
12/5/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
6/15/2005
12/5/2008
Active
Teachers Insurance and Annuity Association of America
301596
Agent - Health
9/17/2008
Active
Teachers Insurance and Annuity Association of America
301596
Agent - Life
9/17/2008
Active
Teachers Insurance and Annuity Association of America
301596
Agent - Variable Life and Variable Annuities
9/17/2008
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
12/18/2000
4/10/2003
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
4/10/2001
4/10/2003
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
6/16/2005
3/15/2010
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
6/16/2005
3/15/2010
Inactive
West Coast Life Insurance Company
301607
Agent - Life
7/1/2003
3/31/2005
Inactive
Western National Life Insurance Company
300461
Agent - Life
6/13/2005
11/3/2008
Inactive
Western National Life Insurance Company
300461
Agent - Variable Life and Variable Annuities
5/31/2001
3/31/2005
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
3/28/2003
3/31/2005
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Life
3/1/2006
10/23/2008
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Health
3/1/2006
10/23/2008
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
3/1/2006
10/23/2008
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