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DEPARTMENT OF INSURANCE
Affiliations
Name
Dickman, Mark James
DOIID
374329
NAIC NPN
2516554
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Variable Life and Variable Annuities
6/15/2022
2/28/2026
Active
Resident
Agent
Life
6/3/2022
2/28/2026
Inactive
Resident
Agent
Health Maintenance Organization
6/28/1999
3/1/2001
Inactive
Resident
Agent
Health
5/29/2018
3/1/2022
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
8/10/2016
3/1/2018
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
9/6/2022
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
9/2/2022
Inactive
American General Life Insurance Company
301585
Agent - Health
2/24/2006
5/4/2009
Inactive
American General Life Insurance Company
301585
Agent - Life
2/24/2006
5/4/2009
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
2/24/2006
5/4/2009
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
11/1/1996
12/31/2002
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
11/1/1996
12/31/2002
Active
Athene Annuity and Life Company
301893
Agent - Life
8/2/2022
Inactive
Augustar Life Assurance Corporation
301113
Agent - Life
10/1/1999
8/6/2010
Inactive
Augustar Life Assurance Corporation
301113
Agent - Variable Life and Variable Annuities
5/31/2001
8/6/2010
Inactive
Augustar Life Insurance Company
301816
Agent - Health
2/23/1999
11/5/2010
Inactive
Augustar Life Insurance Company
301816
Agent - Life
10/6/2016
3/1/2018
Inactive
Augustar Life Insurance Company
301816
Agent - Variable Life and Variable Annuities
10/6/2016
3/1/2018
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
1/21/2021
3/1/2022
Active
Brighthouse Life Insurance Company
301829
Agent - Life
9/15/2023
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
9/15/2023
Inactive
Conseco Insurance Company
301202
Agent - Life
3/11/1997
1/25/2005
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/7/2010
3/1/2016
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
12/7/2010
3/1/2016
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
2/11/2004
8/6/2010
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Variable Life and Variable Annuities
7/27/2009
8/6/2010
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
9/23/2010
11/7/2012
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
8/16/2018
3/1/2022
Inactive
Everlake Life Insurance Company
300873
Agent - Life
10/2/2000
8/6/2010
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
5/31/2001
8/6/2010
Inactive
First Colony Life Insurance Company
301179
Agent - Life
8/9/1999
7/14/2004
Inactive
Forethought Life Insurance Company
301407
Agent - Health
2/24/2015
3/1/2016
Inactive
Forethought Life Insurance Company
301407
Agent - Life
2/24/2015
3/1/2016
Inactive
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
2/24/2015
3/1/2016
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
11/14/2016
12/22/2016
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
11/14/2016
12/22/2016
Inactive
Genworth Life Insurance Company
300623
Agent - Health
4/21/2010
10/4/2012
Inactive
Genworth Life Insurance Company
300623
Agent - Life
4/21/2010
10/4/2012
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
10/2/2000
1/1/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
5/31/2001
1/1/2005
Inactive
Golden Rule Insurance Company
301943
Agent - Health
7/19/1999
8/3/2010
Inactive
Golden Rule Insurance Company
301943
Agent - Life
7/19/1999
8/3/2010
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
12/2/2016
3/1/2018
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
12/2/2016
3/1/2018
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
9/12/2003
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
6/28/1999
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
6/28/1999
9/12/2003
Inactive
Humana Insurance Company
301104
Agent - Life
6/28/1999
9/12/2003
Active
Jackson National Life Insurance Company
300486
Agent - Life
8/16/2022
Active
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
8/16/2022
Inactive
Jefferson National Life Insurance Company
300258
Agent - Health
3/18/1999
6/8/2006
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
3/18/1999
6/8/2006
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
2/21/2005
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
2/21/2005
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
2/21/2005
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
2/21/2005
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
2/21/2005
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Variable Life and Variable Annuities
2/21/2005
4/2/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
5/11/2004
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
5/11/2004
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
5/20/2016
3/1/2018
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
10/18/2022
10/25/2024
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
10/18/2022
10/25/2024
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
1/18/2005
12/11/2006
Inactive
Keyport Life Insurance Company
300319
Agent - Life
3/5/1999
11/18/2002
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Health
7/28/1999
6/24/2005
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Life
7/28/1999
6/24/2005
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/29/2021
3/1/2022
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/18/2022
12/26/2024
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
7/18/2022
12/26/2024
Inactive
Manhattan National Life Insurance Company
301011
Agent - Health
7/2/1997
4/9/2001
Inactive
Manhattan National Life Insurance Company
301011
Agent - Life
7/2/1997
4/9/2001
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
2/23/1999
12/15/2003
Active
MassMutual Ascend Life Insurance Company
300320
Agent - Life
12/7/2022
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
9/22/2000
8/10/2010
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
9/22/2000
8/10/2010
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
4/13/2006
8/10/2010
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
9/24/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
9/24/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
9/24/2010
11/14/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
4/13/2006
8/10/2010
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
4/13/2006
8/10/2010
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
4/13/2006
8/10/2010
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
8/4/1997
2/2/1999
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
8/4/1997
2/2/1999
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
7/16/2018
3/1/2022
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
7/16/2018
3/1/2022
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
7/16/2018
3/1/2022
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
4/15/2021
3/1/2022
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
4/15/2021
3/1/2022
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
4/15/2021
3/1/2022
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
3/29/2017
3/1/2018
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
3/29/2017
3/1/2018
Inactive
Pacific Life Insurance Company
301848
Agent - Health
1/3/2019
4/9/2019
Inactive
Pacific Life Insurance Company
301848
Agent - Life
1/3/2019
4/9/2019
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
1/3/2019
4/9/2019
Inactive
Penn Insurance and Annuity Company
300712
Agent - Health
3/14/1996
6/12/1998
Inactive
Penn Insurance and Annuity Company
300712
Agent - Life
3/14/1996
6/12/1998
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Health
2/8/1995
6/12/1998
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
2/8/1995
6/12/1998
Inactive
Principal Life Insurance Company
300129
Agent - Life
8/11/2006
3/1/2016
Inactive
Protective Life Insurance Company
300638
Agent - Health
11/11/2019
11/23/2021
Active
Protective Life Insurance Company
300638
Agent - Life
8/25/2022
Active
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
8/25/2022
Inactive
Pruco Life Insurance Company
300954
Agent - Life
2/2/2021
3/1/2022
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
2/2/2021
3/1/2022
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
7/28/1999
1/3/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
7/28/1999
1/3/2003
Inactive
RiverSource Life Insurance Company
301952
Agent - Life
7/10/2008
12/7/2010
Inactive
RiverSource Life Insurance Company
301952
Agent - Variable Life and Variable Annuities
7/10/2008
12/7/2010
Inactive
State Life Insurance Company
301497
Agent - Health
3/8/2007
3/1/2016
Inactive
State Life Insurance Company
301497
Agent - Life
3/8/2007
3/1/2016
Inactive
Symetra Life Insurance Company
301691
Agent - Health
7/23/2020
3/1/2022
Inactive
Symetra Life Insurance Company
301691
Agent - Life
12/8/2022
11/15/2023
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
12/8/2022
12/16/2022
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
2/23/1999
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
2/23/1999
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
7/18/2001
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
2/23/1999
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
2/23/1999
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
7/18/2001
12/24/2015
Inactive
Time Insurance Company
300683
Agent - Health
3/3/1998
12/1/1998
Inactive
Time Insurance Company
300683
Agent - Life
3/3/1998
12/1/1998
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
9/18/2008
3/1/2016
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
3/30/2023
11/14/2023
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
4/23/2020
3/1/2022
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
8/24/1999
10/1/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
8/24/1999
11/24/2003
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
5/25/2005
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
10/31/2003
10/1/2008
Inactive
Union Security Insurance Company
301844
Agent - Life
10/2/2000
11/17/2003
Inactive
Western National Life Insurance Company
300461
Agent - Life
1/26/1999
8/17/2010
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
9/23/2010
7/1/2013
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
9/23/2010
7/1/2013
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Inactive
LPL FINANCIAL LLC
399327
Agent - Life
8/16/2010
3/1/2016
Inactive
LPL FINANCIAL LLC
399327
Agent - Health
8/16/2010
3/1/2016
Inactive
LPL FINANCIAL LLC
399327
Agent - Variable Life and Variable Annuities
8/16/2010
3/1/2016
Inactive
Linsco/Private Ledger Insurance Associates, Inc.
400524
Agent - Life
4/11/2013
3/1/2016
Inactive
Linsco/Private Ledger Insurance Associates, Inc.
400524
Agent - Health
4/11/2013
3/1/2016
Inactive
U S Bancorp Ins Services L L C
400253
Agent - Life
3/10/2005
8/2/2010
Inactive
U S Bancorp Ins Services L L C
400253
Agent - Health
3/10/2005
8/2/2010
Inactive
U S Bancorp Ins Services L L C
400253
Agent - Variable Life and Variable Annuities
3/10/2005
8/2/2010
Inactive
US Bancorp Investments, Inc.
572662
Agent - Life
12/18/2003
8/2/2010
Inactive
US Bancorp Investments, Inc.
572662
Agent - Health
12/18/2003
8/2/2010
Inactive
US Bancorp Investments, Inc.
572662
Agent - Variable Life and Variable Annuities
12/18/2003
8/2/2010
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