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DEPARTMENT OF INSURANCE
Affiliations
Name
Justice, Jeffrey David
DOIID
374356
NAIC NPN
1485058
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Credit Life & Health
7/9/1997
8/7/2000
Inactive
Resident
Agent
Health
6/1/2004
11/12/2008
Inactive
Resident
Agent
Limited Line Credit
8/7/2000
7/9/2001
Inactive
Resident
Agent
Life
7/12/1994
8/21/2010
Inactive
Resident
Agent
Variable Life and Variable Annuities
6/7/2001
8/21/2010
* 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 - Variable Life and Variable Annuities
6/7/2001
11/12/2008
Inactive
Banc One Kentucky Insurance Company
300824
Agent - Credit Life & Health
7/9/1997
8/7/2000
Inactive
Banc One Kentucky Insurance Company
300824
Agent - Limited Line Credit
8/7/2000
7/9/2001
Inactive
Celtic Insurance Company
300877
Agent - Health
10/26/1994
3/31/1997
Inactive
Celtic Insurance Company
300877
Agent - Life
10/26/1994
3/31/1997
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
6/1/2004
5/30/2006
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
1/12/2001
5/30/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Life
9/28/2007
12/28/2007
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
9/28/2007
12/28/2007
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
8/22/2007
2/19/2008
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
8/22/2007
2/19/2008
Inactive
Everlake Life Insurance Company
300873
Agent - Life
1/1/2005
7/2/2007
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
1/1/2005
7/2/2007
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
2/5/2001
12/21/2004
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
6/7/2001
12/21/2004
Inactive
Genworth Life Insurance Company
300623
Agent - Health
11/13/2007
1/1/2008
Inactive
Genworth Life Insurance Company
300623
Agent - Life
11/13/2007
1/1/2008
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
11/13/2007
1/2/2008
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
11/13/2007
1/2/2008
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
4/12/1999
1/1/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
6/7/2001
1/1/2005
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
8/2/2007
1/9/2008
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
8/2/2007
1/9/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
6/1/2004
12/12/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
4/30/2001
12/12/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Variable Life and Variable Annuities
6/7/2001
12/20/2006
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
1/22/2002
12/23/2002
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Health
6/1/2004
12/12/2006
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
1/29/2001
12/12/2006
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Variable Life and Variable Annuities
6/7/2001
12/20/2006
Inactive
Keyport Life Insurance Company
300319
Agent - Life
10/10/2000
12/31/2003
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
7/26/1996
3/6/2003
Inactive
LifeSecure Insurance Company
301629
Agent - Health
5/1/1996
6/23/1998
Inactive
LifeSecure Insurance Company
301629
Agent - Life
5/1/1996
6/23/1998
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
9/22/1997
1/22/2002
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
7/12/1994
8/20/1998
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
6/1/2004
9/14/2007
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
1/19/2001
8/2/2007
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
6/12/2003
8/2/2007
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
5/10/1996
8/2/2007
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
6/12/2003
8/2/2007
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
8/13/2007
1/10/2008
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
8/13/2007
1/10/2008
Inactive
Pacific Life Insurance Company
301848
Agent - Life
3/18/2002
11/12/2008
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
3/18/2002
11/12/2008
Inactive
Protective Life Insurance Company
300638
Agent - Health
8/21/2007
12/31/2007
Inactive
Protective Life Insurance Company
300638
Agent - Life
8/21/2007
12/31/2007
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
8/21/2007
12/31/2007
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
12/12/2006
8/21/2010
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
12/12/2006
8/21/2010
Inactive
Security Benefit Life Insurance Company
300583
Agent - Health
6/1/2004
11/12/2008
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
6/10/2002
10/4/2007
Inactive
Security Benefit Life Insurance Company
300583
Agent - Variable Life and Variable Annuities
6/10/2002
11/12/2008
Denied
Security Life of Denver Insurance Company
300648
Agent - Life
Denied
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Health
8/23/2007
10/23/2008
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
8/23/2007
12/28/2007
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
1/16/2001
1/1/2009
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
1/16/2001
3/31/2003
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
6/1/2004
2/14/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
3/23/2001
2/14/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
6/7/2001
2/14/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
6/1/2004
2/14/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
3/23/2001
2/14/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
6/7/2001
2/14/2008
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
2/17/1999
7/30/2004
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
1/29/2004
7/30/2004
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
5/31/1996
12/1/2000
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
7/12/1994
8/20/1998
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
7/12/1994
8/20/1998
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
12/14/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
12/14/1995
3/31/1997
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
9/28/2007
8/27/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
9/28/2007
8/27/2008
Inactive
Western National Life Insurance Company
300461
Agent - Life
8/31/2007
1/23/2008
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
8/7/2007
12/28/2007
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
8/7/2007
12/28/2007
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
3/8/2001
11/12/2008
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Acordia Senior of The Southeast Inc.
401297
Agent - Life
5/9/1996
2/10/2004
Inactive
Acordia Senior of The Southeast Inc.
401297
Agent - Health
5/9/1996
2/10/2004
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Life
2/23/2001
9/5/2008
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Health
6/1/2004
9/5/2008
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
4/2/2004
9/5/2008
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Inactive
Raymond James Insurance Group, Inc.
398342
Agent - Life
7/24/2007
8/21/2010
Inactive
Raymond James Insurance Group, Inc.
398342
Agent - Health
7/24/2007
11/12/2008
Inactive
Raymond James Insurance Group, Inc.
398342
Agent - Variable Life and Variable Annuities
7/24/2007
8/21/2010
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