DEPARTMENT OF INSURANCE
Affiliations
NameVan Leeuwen, Mark DennisDOIID367472NAIC NPN2213911
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife9/13/2002 10/31/2025
ActiveResidentAgentVariable Life and Variable Annuities9/13/2002 10/31/2025
ActiveResidentAgentHealth9/13/2002 10/31/2025
* 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 - Health10/3/200212/28/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Life10/3/200212/28/2006
InactiveAmerican General Life Insurance Company301585Agent - Health11/20/20025/6/2009
InactiveAmerican General Life Insurance Company301585Agent - Life11/20/20025/6/2009
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities11/20/20025/6/2009
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
InactiveChase Insurance Life and Annuity Company300518Agent - Health12/27/20007/1/2002
InactiveChase Insurance Life and Annuity Company300518Agent - Life10/3/20024/1/2007
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health1/8/20017/1/2002
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life1/8/20017/1/2002
InactiveFirst Colony Life Insurance Company301179Agent - Health10/3/200212/20/2006
InactiveFirst Colony Life Insurance Company301179Agent - Life10/3/200212/20/2006
InactiveFirst Colony Life Insurance Company301179Agent - Variable Life and Variable Annuities10/3/200212/20/2006
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life11/5/2002 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities11/5/2002 
InactiveGenworth Life Insurance Company300623Agent - Health9/27/20024/17/2007
InactiveGenworth Life Insurance Company300623Agent - Life9/27/20024/17/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health10/22/200210/4/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life10/22/200210/4/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities10/22/200210/4/2009
InactiveHartford Life and Accident Insurance Company300878Agent - Health4/15/198812/31/1998
InactiveHartford Life and Accident Insurance Company300878Agent - Life4/15/198812/31/1998
InactiveING Insurance Company of America301507Agent - Life9/14/199412/31/1998
ActiveJackson National Life Insurance Company300486Agent - Life1/8/2009 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities1/8/2009 
InactiveJohn Hancock Life Insurance Company300821Agent - Health12/5/200512/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life12/5/200512/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities12/5/200512/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health12/5/20054/2/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/30/20024/2/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities9/30/20024/2/2013
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life12/5/200512/14/2006
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities12/5/200512/20/2006
InactiveLincoln Benefit Life Company301110Agent - Health10/9/20037/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life10/9/20037/14/2014
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities10/9/20037/14/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/30/200210/18/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Life2/20/200310/18/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities9/30/200210/18/2022
InactiveMetLife Investors Insurance Company301872Agent - Health7/23/200711/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life7/23/200711/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities7/23/200711/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health7/23/200711/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life3/14/200611/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities3/14/200611/14/2014
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life12/10/200312/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities12/10/200312/7/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health7/23/20074/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life7/23/20074/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities7/23/20074/28/2018
ActiveMidland National Life Insurance Company300923Agent - Life9/21/2021 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities9/21/2021 
InactiveNassau Life Insurance Company301406Agent - Life3/25/20045/2/2006
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities3/25/20045/2/2006
ActiveNationwide Life Insurance Company300495Agent - Health2/14/2017 
ActiveNationwide Life Insurance Company300495Agent - Life2/14/2017 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities2/14/2017 
InactiveNew England Life Insurance Company300343Agent - Health10/29/199112/31/1998
InactiveNew England Life Insurance Company300343Agent - Life10/29/199112/31/1998
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life2/26/200412/24/2013
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities2/26/200412/24/2013
InactivePHL Variable Insurance Company300525Agent - Life2/20/20045/2/2006
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities2/20/20045/2/2006
InactivePacific Life Insurance Company301848Agent - Life5/19/20169/22/2020
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities5/19/20169/22/2020
InactiveProtective Life Insurance Company300638Agent - Health4/10/201411/23/2015
InactiveProtective Life Insurance Company300638Agent - Life4/10/201411/23/2015
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/10/201411/23/2015
ActivePruco Life Insurance Company300954Agent - Health2/2/2010 
ActivePruco Life Insurance Company300954Agent - Life2/2/2010 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities2/2/2010 
InactivePrudential Insurance Company of America300784Agent - Health2/2/201012/23/2014
InactivePrudential Insurance Company of America300784Agent - Life2/2/201012/23/2014
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities2/2/201012/23/2014
InactiveReliaStar Life Insurance Company301712Agent - Health8/15/20118/25/2011
InactiveReliaStar Life Insurance Company301712Agent - Life8/15/20118/25/2011
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities8/15/20118/25/2011
InactiveSecurity Life of Denver Insurance Company300648Agent - Health8/15/20118/25/2011
InactiveSecurity Life of Denver Insurance Company300648Agent - Life8/15/20118/25/2011
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities8/15/20118/25/2011
ActiveState Life Insurance Company301497Agent - Health6/17/2016 
ActiveState Life Insurance Company301497Agent - Life6/17/2016 
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Health1/11/19887/1/2002
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life10/25/200210/4/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities10/25/200210/4/2012
InactiveSunAmerica Life Insurance Company300096Agent - Health3/23/19887/1/2002
InactiveSunAmerica Life Insurance Company300096Agent - Life3/23/19887/1/2002
InactiveTalcott Resolution Life Insurance Company301759Agent - Health9/13/200211/18/2020
InactiveTalcott Resolution Life Insurance Company301759Agent - Life9/13/200211/18/2020
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities9/13/200211/18/2020
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health9/13/200212/14/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life9/13/200212/14/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities9/13/200212/14/2015
ActiveTransamerica Life Insurance Company300571Agent - Life2/13/2017 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities2/13/2017 
InactiveUNUM Life Insurance Company of America300817Agent - Health11/4/19997/1/2002
InactiveUNUM Life Insurance Company of America300817Agent - Life11/4/19997/1/2002
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health9/14/199412/31/1998
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life9/14/199412/31/1998
InactiveZurich American Life Insurance Company300216Agent - Life12/27/20007/1/2002
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveLPL FINANCIAL LLC399327Agent - Life4/9/2013 
ActiveLPL FINANCIAL LLC399327Agent - Health4/9/2013 
ActiveLPL FINANCIAL LLC399327Agent - Variable Life and Variable Annuities4/9/2013 
ActiveLinsco/Private Ledger Insurance Associates, Inc.400524Agent - Life4/12/2013 
ActiveLinsco/Private Ledger Insurance Associates, Inc.400524Agent - Health4/12/2013 

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