DEPARTMENT OF INSURANCE
Affiliations
NameDement, Angela JoDOIID371457NAIC NPN7200820
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife9/24/2012 5/31/2025
ActiveResidentAgentHealth9/24/2012 5/31/2025
ActiveResidentAgentVariable Life and Variable Annuities9/24/2012 5/31/2025
InactiveResidentAgentCredit Life & Health1/20/199810/26/1998 
* 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
ActiveAllianz Life Insurance Company of North America301791Agent - Life12/7/2023 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities12/7/2023 
ActiveAmerican General Life Insurance Company301585Agent - Life12/21/2023 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/21/2023 
ActiveAthene Annuity and Life Company301893Agent - Life8/2/2023 
ActiveAthene Annuity and Life Company301893Agent - Variable Life and Variable Annuities8/2/2023 
InactiveBanc One Kentucky Insurance Company300824Agent - Credit Life & Health1/20/199810/26/1998
InactiveEverlake Life Insurance Company300873Agent - Life1/13/200310/3/2006
InactiveGlenbrook Life and Annuity Company301384Agent - Life11/6/20001/1/2005
InactiveLife Investors Insurance Company of America301793Agent - Life11/6/20008/13/2003
ActiveNationwide Life Insurance Company300495Agent - Health6/21/2021 
ActiveNationwide Life Insurance Company300495Agent - Life6/21/2021 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities6/21/2021 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health6/21/2021 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life6/21/2021 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities6/21/2021 
InactivePacific Life Insurance Company301848Agent - Life6/24/200410/3/2006
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities6/24/200410/3/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Life7/1/200410/3/2006
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities7/1/200410/3/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life7/1/200410/3/2006
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities7/1/200410/3/2006
ActiveTransamerica Life Insurance Company300571Agent - Life12/11/2023 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities12/11/2023 
InactiveWestern National Life Insurance Company300461Agent - Life11/6/200010/3/2006
InactiveWestern National Life Insurance Company300461Agent - Variable Life and Variable Annuities5/31/200110/3/2006
ActiveWestern-Southern Life Assurance Company301590Agent - Life3/11/2023 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveChase Insurance Agency, Inc.398324Agent - Health6/22/2021 
ActiveChase Insurance Agency, Inc.398324Agent - Life6/22/2021 
ActiveChase Insurance Agency, Inc.398324Agent - Variable Life and Variable Annuities6/22/2021 
DeniedWells Fargo Advisors Insurance Agency LLC399972Agent - Health  
DeniedWells Fargo Advisors Insurance Agency LLC399972Agent - Life  
DeniedWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities  

© Commonwealth of Kentucky. All rights reserved.