DEPARTMENT OF INSURANCE
Affiliations
NameDickinson, Samuel DayDOIID366881NAIC NPN7122828
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities12/10/2009 9/30/2025
ActiveResidentAgentLife12/10/2009 9/30/2025
* 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 - Life4/8/201412/28/2016
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/8/201412/28/2016
InactiveAugustar Life Insurance Company301816Agent - Life7/25/200112/11/2008
InactiveAugustar Life Insurance Company301816Agent - Variable Life and Variable Annuities7/25/200112/11/2008
ActiveBrighthouse Life Insurance Company301829Agent - Life6/17/2010 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities6/17/2010 
InactiveC.M. Life Insurance Company301335Agent - Life8/26/19995/3/2006
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Variable Life and Variable Annuities6/22/200110/1/2009
InactiveDelaware Life Insurance Company301256Agent - Life1/4/200012/13/2006
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities12/16/200212/13/2006
InactiveEquitable Financial Life Insurance Company300808Agent - Life1/7/201012/23/2011
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities3/2/20184/11/2019
InactiveEverlake Life Insurance Company300873Agent - Life7/9/19998/17/2009
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life6/10/199712/23/2008
ActiveForethought Life Insurance Company301407Agent - Life3/20/2013 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities3/20/2013 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life10/6/2010 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities10/6/2010 
ActiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life11/5/2015 
ActiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities11/5/2015 
InactiveIntegrity Life Insurance Company301687Agent - Life6/18/199812/5/2002
InactiveJackson National Life Insurance Company300486Agent - Life2/6/20191/5/2024
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities2/6/20191/5/2024
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life2/28/19967/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities6/7/20077/2/2007
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/11/2023 
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities1/23/20151/21/2017
InactiveLincoln Benefit Life Company301110Agent - Life6/8/20107/14/2014
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities6/8/20107/14/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Life12/13/20209/25/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities12/13/20209/25/2023
InactiveMML Bay State Life Insurance Company301198Agent - Life6/11/19995/3/2006
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life12/13/199912/31/2001
InactiveManufacturers Life Insurance Company of North America301899Agent - Life5/20/19941/22/2002
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life5/24/20169/10/2019
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities5/24/20169/10/2019
InactiveMetLife Investors Insurance Company301872Agent - Life6/15/201011/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities6/15/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life6/15/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities6/15/201011/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Life6/15/20104/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities6/15/20104/28/2018
InactiveNationwide Life Insurance Company300495Agent - Life10/28/201912/17/2020
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities10/28/201912/17/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life12/31/200210/1/2009
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities12/31/200210/1/2009
ActivePacific Life Insurance Company301848Agent - Life12/8/2020 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities12/8/2020 
ActivePrincipal Life Insurance Company300129Agent - Life7/10/2015 
ActivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities7/10/2015 
InactiveProtective Life Insurance Company300638Agent - Life9/29/202011/23/2021
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities9/29/202011/23/2021
InactivePruco Life Insurance Company300954Agent - Life8/9/201712/21/2022
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities8/9/201712/21/2022
InactiveSun Life Assurance Company of Canada301811Agent - Life1/11/201011/16/2011
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life9/13/199410/1/2009
InactiveSunAmerica Life Insurance Company300096Agent - Life9/13/19943/31/2003
ActiveTalcott Resolution Life Insurance Company301759Agent - Life12/29/2009 
ActiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities12/29/2009 
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life12/29/200912/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities12/29/200912/24/2015
ActiveTransamerica Life Insurance Company300571Agent - Life11/29/2016 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities11/29/2016 
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life6/15/199910/1/2005
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Variable Life and Variable Annuities5/31/200110/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life6/15/199910/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities5/31/200110/1/2008
InactiveUnion Security Insurance Company301844Agent - Life3/20/200011/17/2003
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life12/1/199911/15/2008
InactiveZurich American Life Insurance Company300216Agent - Life11/29/199910/1/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBaird Insurance Services Inc399048Agent - Life11/1/2019 
ActiveBaird Insurance Services Inc399048Agent - Variable Life and Variable Annuities11/1/2019 
InactiveJ.J.B. Hilliard, W.L. Lyons, LLC679616Agent - Life6/17/20113/31/2020
InactiveJ.J.B. Hilliard, W.L. Lyons, LLC679616Agent - Variable Life and Variable Annuities6/17/20113/31/2020
InactiveJJB Hilliard, WL Lyons LLC526305Agent - Life7/7/200310/1/2009
InactiveJJB Hilliard, WL Lyons LLC526305Agent - Variable Life and Variable Annuities7/7/200310/1/2009

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