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DEPARTMENT OF INSURANCE
Affiliations
Name
Blackaby, Sandra K
DOIID
367703
NAIC NPN
7199178
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
3/19/1998
1/1/2020
Inactive
Resident
Agent
Health
3/19/1998
1/1/2020
Inactive
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
1/1/2020
* 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
American General Life Insurance Company
301585
Agent - Health
12/18/2001
10/29/2018
Inactive
American General Life Insurance Company
301585
Agent - Life
12/31/2012
10/29/2018
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
12/31/2012
10/29/2018
Inactive
Athene Annuity and Life Company
301893
Agent - Health
11/19/2008
1/5/2011
Inactive
Athene Annuity and Life Company
301893
Agent - Life
2/1/2011
2/24/2012
Inactive
Aviva Life Insurance Company
301615
Agent - Health
12/22/1998
10/1/2008
Inactive
Aviva Life Insurance Company
301615
Agent - Life
12/22/1998
10/1/2008
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
10/31/2018
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
10/31/2018
Inactive
C.M. Life Insurance Company
301335
Agent - Life
6/28/2004
11/12/2012
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
4/29/1998
1/17/2006
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
4/29/1998
1/17/2006
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
6/21/2001
1/17/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Health
12/31/2003
1/1/2020
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/10/2015
12/7/2018
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
12/10/2015
12/7/2018
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
4/3/2000
8/1/2018
Inactive
Everlake Life Insurance Company
300873
Agent - Life
9/9/2002
11/14/2013
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
9/9/2002
11/14/2013
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
12/12/2001
3/24/2006
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
2/26/2001
1/1/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
5/31/2001
1/1/2005
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
3/18/2004
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
3/18/2004
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
3/18/2004
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
3/18/2004
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
3/18/2004
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Variable Life and Variable Annuities
3/18/2004
4/2/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
2/20/2008
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
2/20/2008
4/2/2013
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
2/20/2008
4/2/2013
Inactive
Keyport Life Insurance Company
300319
Agent - Health
3/19/1998
12/31/2003
Inactive
Keyport Life Insurance Company
300319
Agent - Life
3/19/1998
12/31/2003
Inactive
Keyport Life Insurance Company
300319
Agent - Variable Life and Variable Annuities
6/11/2001
12/31/2003
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Life
7/11/2012
10/10/2019
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
3/22/2007
12/7/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
3/22/2007
12/7/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
3/22/2007
12/7/2018
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
5/8/1998
1/22/2002
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
6/28/2004
11/12/2012
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
11/18/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
11/18/2010
11/14/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
1/25/2011
12/10/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
1/25/2011
12/10/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
1/25/2011
12/10/2012
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
10/29/2010
12/10/2012
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
10/29/2010
12/10/2012
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
5/3/2001
11/6/2018
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
8/26/1999
11/6/2018
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
5/31/2001
11/6/2018
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
5/6/2003
12/7/2017
Inactive
State Life Insurance Company
301497
Agent - Health
4/30/2009
1/1/2020
Inactive
State Life Insurance Company
301497
Agent - Life
4/30/2009
1/1/2020
Inactive
Symetra Life Insurance Company
301691
Agent - Health
3/9/2010
11/15/2018
Inactive
Symetra Life Insurance Company
301691
Agent - Life
3/9/2010
11/15/2018
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
4/24/1998
11/18/2014
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
4/24/1998
11/18/2014
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
5/31/2001
11/18/2014
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
4/24/1998
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
4/24/1998
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 - Health
10/1/2008
1/1/2020
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
10/1/2005
1/1/2020
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
10/1/2005
1/1/2020
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
7/15/1999
10/1/2005
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Variable Life and Variable Annuities
9/15/2003
10/1/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
7/15/1999
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
7/15/1999
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
5/31/2001
10/1/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
7/30/1998
11/30/2006
Inactive
Western National Life Insurance Company
300461
Agent - Life
6/26/1998
12/31/2012
Inactive
Western National Life Insurance Company
300461
Agent - Variable Life and Variable Annuities
5/31/2001
12/31/2012
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Fimco Agency of Ohio Inc.
398131
Agent - Life
5/19/1998
5/31/2004
Inactive
Fimco Agency of Ohio Inc.
398131
Agent - Health
5/19/1998
5/31/2004
Inactive
Huntington Insurance Agency Inc.
399897
Agent - Life
12/21/1998
7/11/2003
Inactive
Huntington Insurance Agency Inc.
399897
Agent - Health
12/21/1998
7/11/2003
Inactive
Huntington Investment Co The
633475
Agent - Life
8/11/2009
1/1/2020
Inactive
Huntington Investment Co The
633475
Agent - Variable Life and Variable Annuities
8/11/2009
1/1/2020
Inactive
Huntington Life Insurance Agency, Inc.
551758
Agent - Life
8/12/2002
5/13/2008
Inactive
Huntington Life Insurance Agency, Inc.
551758
Agent - Health
8/12/2002
5/13/2008
Inactive
Huntington Life Insurance Agency, Inc.
551758
Agent - Variable Life and Variable Annuities
8/12/2002
5/13/2008
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