DEPARTMENT OF INSURANCE
Affiliations
NameDickman, Mark JamesDOIID374329NAIC NPN2516554
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife6/3/2022 2/28/2026
ActiveResidentAgentVariable Life and Variable Annuities6/15/2022 2/28/2026
InactiveResidentAgentHealth Maintenance Organization6/28/19993/1/2001 
InactiveResidentAgentHealth5/29/20183/1/2022 
* 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 - Health8/10/20163/1/2018
ActiveAllianz Life Insurance Company of North America301791Agent - Life9/6/2022 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/2/2022 
InactiveAmerican General Life Insurance Company301585Agent - Health2/24/20065/4/2009
InactiveAmerican General Life Insurance Company301585Agent - Life2/24/20065/4/2009
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities2/24/20065/4/2009
InactiveAthene Annuity & Life Assurance Company301798Agent - Health11/1/199612/31/2002
InactiveAthene Annuity & Life Assurance Company301798Agent - Life11/1/199612/31/2002
ActiveAthene Annuity and Life Company301893Agent - Life8/2/2022 
InactiveAugustar Life Assurance Corporation301113Agent - Life10/1/19998/6/2010
InactiveAugustar Life Assurance Corporation301113Agent - Variable Life and Variable Annuities5/31/20018/6/2010
InactiveAugustar Life Insurance Company301816Agent - Health2/23/199911/5/2010
InactiveAugustar Life Insurance Company301816Agent - Life10/6/20163/1/2018
InactiveAugustar Life Insurance Company301816Agent - Variable Life and Variable Annuities10/6/20163/1/2018
InactiveBrighthouse Life Insurance Company301829Agent - Health1/21/20213/1/2022
ActiveBrighthouse Life Insurance Company301829Agent - Life9/15/2023 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities9/15/2023 
InactiveConseco Insurance Company301202Agent - Life3/11/19971/25/2005
InactiveDelaware Life Insurance Company301256Agent - Life12/7/20103/1/2016
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities12/7/20103/1/2016
InactiveEmpower Annuity Insurance Company of America300259Agent - Life2/11/20048/6/2010
InactiveEmpower Annuity Insurance Company of America300259Agent - Variable Life and Variable Annuities7/27/20098/6/2010
InactiveEquitable Financial Life Insurance Company300808Agent - Life9/23/201011/7/2012
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities8/16/20183/1/2022
InactiveEverlake Life Insurance Company300873Agent - Life10/2/20008/6/2010
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities5/31/20018/6/2010
InactiveFirst Colony Life Insurance Company301179Agent - Life8/9/19997/14/2004
InactiveForethought Life Insurance Company301407Agent - Health2/24/20153/1/2016
InactiveForethought Life Insurance Company301407Agent - Life2/24/20153/1/2016
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities2/24/20153/1/2016
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life11/14/201612/22/2016
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities11/14/201612/22/2016
InactiveGenworth Life Insurance Company300623Agent - Health4/21/201010/4/2012
InactiveGenworth Life Insurance Company300623Agent - Life4/21/201010/4/2012
InactiveGlenbrook Life and Annuity Company301384Agent - Life10/2/20001/1/2005
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities5/31/20011/1/2005
InactiveGolden Rule Insurance Company301943Agent - Health7/19/19998/3/2010
InactiveGolden Rule Insurance Company301943Agent - Life7/19/19998/3/2010
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life12/2/20163/1/2018
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities12/2/20163/1/2018
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20019/12/2003
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization6/28/19993/1/2001
InactiveHumana Insurance Company301104Agent - Health6/28/19999/12/2003
InactiveHumana Insurance Company301104Agent - Life6/28/19999/12/2003
ActiveJackson National Life Insurance Company300486Agent - Life8/16/2022 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities8/16/2022 
InactiveJefferson National Life Insurance Company300258Agent - Health3/18/19996/8/2006
InactiveJefferson National Life Insurance Company300258Agent - Life3/18/19996/8/2006
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health2/21/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life2/21/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities2/21/20057/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health2/21/20054/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life2/21/20054/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities2/21/20054/2/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Health5/11/200412/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life5/11/200412/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health5/20/20163/1/2018
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life10/18/2022 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities10/18/2022 
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life1/18/200512/11/2006
InactiveKeyport Life Insurance Company300319Agent - Life3/5/199911/18/2002
InactiveLincoln Life Assurance Company of Boston301915Agent - Health7/28/19996/24/2005
InactiveLincoln Life Assurance Company of Boston301915Agent - Life7/28/19996/24/2005
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/29/20213/1/2022
ActiveLincoln National Life Insurance Company (The)301382Agent - Life7/18/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities7/18/2022 
InactiveManhattan National Life Insurance Company301011Agent - Health7/2/19974/9/2001
InactiveManhattan National Life Insurance Company301011Agent - Life7/2/19974/9/2001
InactiveMassMutual Ascend Life Insurance Company300320Agent - Health2/23/199912/15/2003
ActiveMassMutual Ascend Life Insurance Company300320Agent - Life12/7/2022 
InactiveMetLife Investors Insurance Company301872Agent - Health9/22/20008/10/2010
InactiveMetLife Investors Insurance Company301872Agent - Life9/22/20008/10/2010
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities4/13/20068/10/2010
InactiveMetLife Investors USA Insurance Company300845Agent - Health9/24/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life9/24/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities9/24/201011/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health4/13/20068/10/2010
InactiveMetropolitan Life Insurance Company301948Agent - Life4/13/20068/10/2010
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities4/13/20068/10/2010
InactiveMinnesota Life Insurance Company300488Agent - Health8/4/19972/2/1999
InactiveMinnesota Life Insurance Company300488Agent - Life8/4/19972/2/1999
InactiveNationwide Life Insurance Company300495Agent - Health7/16/20183/1/2022
InactiveNationwide Life Insurance Company300495Agent - Life7/16/20183/1/2022
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities7/16/20183/1/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health4/15/20213/1/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life4/15/20213/1/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities4/15/20213/1/2022
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life3/29/20173/1/2018
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities3/29/20173/1/2018
InactivePacific Life Insurance Company301848Agent - Health1/3/20194/9/2019
InactivePacific Life Insurance Company301848Agent - Life1/3/20194/9/2019
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities1/3/20194/9/2019
InactivePenn Insurance and Annuity Company300712Agent - Health3/14/19966/12/1998
InactivePenn Insurance and Annuity Company300712Agent - Life3/14/19966/12/1998
InactivePenn Mutual Life Insurance Company301394Agent - Health2/8/19956/12/1998
InactivePenn Mutual Life Insurance Company301394Agent - Life2/8/19956/12/1998
InactivePrincipal Life Insurance Company300129Agent - Life8/11/20063/1/2016
InactiveProtective Life Insurance Company300638Agent - Health11/11/201911/23/2021
ActiveProtective Life Insurance Company300638Agent - Life8/25/2022 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities8/25/2022 
InactivePruco Life Insurance Company300954Agent - Life2/2/20213/1/2022
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities2/2/20213/1/2022
InactiveReassure America Life Insurance Company301902Agent - Health7/28/19991/3/2003
InactiveReassure America Life Insurance Company301902Agent - Life7/28/19991/3/2003
InactiveRiverSource Life Insurance Company301952Agent - Life7/10/200812/7/2010
InactiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities7/10/200812/7/2010
InactiveState Life Insurance Company301497Agent - Health3/8/20073/1/2016
InactiveState Life Insurance Company301497Agent - Life3/8/20073/1/2016
InactiveSymetra Life Insurance Company301691Agent - Health7/23/20203/1/2022
InactiveSymetra Life Insurance Company301691Agent - Life12/8/202211/15/2023
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities12/8/202212/16/2022
InactiveTalcott Resolution Life Insurance Company301759Agent - Health2/23/199911/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life2/23/199911/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities7/18/200111/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health2/23/199912/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life2/23/199912/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities7/18/200112/24/2015
InactiveTime Insurance Company300683Agent - Health3/3/199812/1/1998
InactiveTime Insurance Company300683Agent - Life3/3/199812/1/1998
InactiveTransamerica Life Insurance Company300571Agent - Health9/18/20083/1/2016
InactiveTransamerica Life Insurance Company300571Agent - Life3/30/202311/14/2023
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/23/20203/1/2022
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life8/24/199910/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health8/24/199911/24/2003
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life5/25/200510/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities10/31/200310/1/2008
InactiveUnion Security Insurance Company301844Agent - Life10/2/200011/17/2003
InactiveWestern National Life Insurance Company300461Agent - Life1/26/19998/17/2010
InactiveWestern-Southern Life Assurance Company301590Agent - Health9/23/20107/1/2013
InactiveWestern-Southern Life Assurance Company301590Agent - Life9/23/20107/1/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveLPL FINANCIAL LLC399327Agent - Life8/16/20103/1/2016
InactiveLPL FINANCIAL LLC399327Agent - Health8/16/20103/1/2016
InactiveLPL FINANCIAL LLC399327Agent - Variable Life and Variable Annuities8/16/20103/1/2016
InactiveLinsco/Private Ledger Insurance Associates, Inc.400524Agent - Life4/11/20133/1/2016
InactiveLinsco/Private Ledger Insurance Associates, Inc.400524Agent - Health4/11/20133/1/2016
InactiveU S Bancorp Ins Services L L C400253Agent - Life3/10/20058/2/2010
InactiveU S Bancorp Ins Services L L C400253Agent - Health3/10/20058/2/2010
InactiveU S Bancorp Ins Services L L C400253Agent - Variable Life and Variable Annuities3/10/20058/2/2010
InactiveUS Bancorp Investments, Inc.572662Agent - Life12/18/20038/2/2010
InactiveUS Bancorp Investments, Inc.572662Agent - Health12/18/20038/2/2010
InactiveUS Bancorp Investments, Inc.572662Agent - Variable Life and Variable Annuities12/18/20038/2/2010

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