DEPARTMENT OF INSURANCE
Affiliations
NameLong, Patricia MaryDOIID365909NAIC NPN5954995
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth6/1/2005 2/28/2027
ActiveResidentAgentVariable Life and Variable Annuities6/1/2005 2/28/2027
ActiveResidentAgentLife6/1/2005 2/28/2027
InactiveResidentAgentCredit Life & Health3/5/19988/7/2000 
InactiveResidentAgentLimited Line Credit8/7/20003/31/2005 
InactiveResidentTemporary AgentOrdinary Life (Temporary Life)5/10/19995/21/1999 
* 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202402/28/202501/12/202501/12/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBanner Life Insurance Company301696Agent - Life10/29/199910/14/2003
InactiveContinental Casualty Company301019Agent - Health8/11/199911/29/2004
InactiveDelaware Life Insurance Company301256Agent - Life11/22/20065/4/2007
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities11/22/20065/4/2007
InactiveEverlake Life Insurance Company300873Agent - Life1/13/20033/5/2003
InactiveFirst Colony Life Insurance Company301179Agent - Life9/2/19997/14/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health8/25/19993/31/2005
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life8/25/19993/31/2005
InactiveGenworth Life Insurance Company300623Agent - Health12/4/199912/22/2003
InactiveGenworth Life Insurance Company300623Agent - Life12/4/199912/22/2003
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health7/30/19993/31/2005
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life7/30/19993/31/2005
InactiveGlenbrook Life and Annuity Company301384Agent - Life12/27/20003/5/2003
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities3/31/20013/5/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Health7/23/19994/9/2001
InactiveIllinois Mutual Life Insurance Company301479Agent - Life7/23/19994/9/2001
InactiveInvestors Heritage Life Insurance Company300363Agent - Credit Life & Health3/5/19988/7/2000
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit8/7/20003/31/2005
InactiveJackson National Life Insurance Company300486Agent - Life6/20/200510/27/2008
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities6/20/200510/27/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Health3/6/20075/22/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life3/6/20075/22/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/200812/13/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/200812/13/2013
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life8/4/19993/31/2005
InactiveKeyport Life Insurance Company300319Agent - Life7/13/200112/31/2003
InactiveKeyport Life Insurance Company300319Agent - Variable Life and Variable Annuities7/13/200112/31/2003
InactiveLife Investors Insurance Company of America301793Agent - Life12/18/20004/10/2003
InactiveNationwide Life Insurance Company300495Agent - Life6/16/200511/27/2008
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities6/16/200511/27/2008
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life6/16/200511/27/2008
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities6/16/200511/27/2008
InactivePacific Life Insurance Company301848Agent - Life6/16/20054/5/2010
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities6/16/20054/5/2010
InactivePaul Revere Life Insurance Company300971Agent - Health6/2/199912/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life6/2/199912/11/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Health6/2/199910/24/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life6/2/199910/24/2003
InactivePruco Life Insurance Company300954Agent - Health5/21/199911/16/2000
InactivePruco Life Insurance Company300954Agent - Life5/21/199911/16/2000
InactivePrudential Insurance Company of America300784Agent - Health5/21/199911/16/2000
InactivePrudential Insurance Company of America300784Agent - Life5/21/199911/16/2000
InactivePrudential Insurance Company of America300784Temporary Agent - Ordinary Life (Temporary Life)5/10/19995/21/1999
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life6/16/20051/1/2009
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities6/16/20051/1/2009
ActiveTIAA-CREF Life Insurance Company556577Agent - Health9/17/2008 
ActiveTIAA-CREF Life Insurance Company556577Agent - Life9/17/2008 
ActiveTIAA-CREF Life Insurance Company556577Agent - Variable Life and Variable Annuities9/17/2008 
InactiveTalcott Resolution Life Insurance Company301759Agent - Health6/15/200512/5/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Life6/15/200512/5/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities6/15/200512/5/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health6/15/200512/5/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life6/15/200512/5/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities6/15/200512/5/2008
ActiveTeachers Insurance and Annuity Association of America301596Agent - Health9/17/2008 
ActiveTeachers Insurance and Annuity Association of America301596Agent - Life9/17/2008 
ActiveTeachers Insurance and Annuity Association of America301596Agent - Variable Life and Variable Annuities9/17/2008 
InactiveTransamerica Life Insurance Company300571Agent - Life12/18/20004/10/2003
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/10/20014/10/2003
InactiveVenerable Insurance and Annuity Company301006Agent - Life6/16/20053/15/2010
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities6/16/20053/15/2010
InactiveWest Coast Life Insurance Company301607Agent - Life7/1/20033/31/2005
InactiveWestern National Life Insurance Company300461Agent - Life6/13/200511/3/2008
InactiveWestern National Life Insurance Company300461Agent - Variable Life and Variable Annuities5/31/20013/31/2005
InactiveWestern-Southern Life Assurance Company301590Agent - Life3/28/20033/31/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life3/1/200610/23/2008
InactiveFifth Third Insurance Agency Inc399341Agent - Health3/1/200610/23/2008
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities3/1/200610/23/2008

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