DEPARTMENT OF INSURANCE
Affiliations
NameFortney, Elizabeth VernonDOIID380412NAIC NPN2753276
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/10/19871/31/2019 
InactiveNon ResidentAgentVariable Life and Variable Annuities4/20/20011/31/2019 
InactiveNon ResidentAgentLife4/10/19871/31/2019 
InactiveResidentAgentHealth Maintenance Organization9/30/19883/1/2001 
* 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
InactiveAetna Health Inc.300694Agent - Health3/1/200112/31/2007
InactiveAetna Health Inc.300694Agent - Health Maintenance Organization4/27/20003/1/2001
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20071/31/2019
InactiveAetna Life Insurance Company301140Agent - Health4/27/20001/31/2019
InactiveAetna Life Insurance Company301140Agent - Life4/27/20001/31/2019
InactiveAll Savers Insurance Company301940Agent - Health5/11/20155/2/2018
InactiveAll Savers Insurance Company301940Agent - Life5/11/20155/2/2018
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/20/19969/24/2018
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/20/19969/24/2018
InactiveAmerican General Life Insurance Company301585Agent - Health6/28/200812/20/2013
InactiveAmerican General Life Insurance Company301585Agent - Life6/28/200812/20/2013
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities6/28/200812/20/2013
InactiveAmerican States Life Insurance Company301884Agent - Health5/14/199812/6/2004
InactiveAmerican States Life Insurance Company301884Agent - Life5/14/199812/6/2004
InactiveAmerican United Life Insurance Company300498Agent - Health10/1/20081/31/2019
InactiveAmerican United Life Insurance Company300498Agent - Life10/1/20081/31/2019
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20014/1/2002
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization4/21/19933/1/2001
InactiveAnthem Life Insurance Company301209Agent - Health2/11/20001/31/2019
InactiveAnthem Life Insurance Company301209Agent - Life2/11/20001/31/2019
InactiveAssurity Life Insurance Company301099Agent - Health11/5/201511/28/2016
InactiveAssurity Life Insurance Company301099Agent - Life11/5/201511/28/2016
InactiveAthene Annuity & Life Assurance Company301798Agent - Health1/26/19949/5/2006
InactiveAthene Annuity & Life Assurance Company301798Agent - Life1/26/19949/5/2006
InactiveBanner Life Insurance Company301696Agent - Life6/12/200910/7/2017
InactiveBaptist Health Plan, Inc.300157Agent - Health5/3/20011/31/2019
InactiveBerkshire Life Insurance Company301158Agent - Health9/11/20007/1/2001
InactiveBerkshire Life Insurance Company301158Agent - Life9/11/20007/1/2001
InactiveBerkshire Life Insurance Company of America300983Agent - Health10/15/20141/31/2019
InactiveBerkshire Life Insurance Company of America300983Agent - Life10/15/20141/31/2019
InactiveC.M. Life Insurance Company301335Agent - Health3/25/19978/3/1999
InactiveC.M. Life Insurance Company301335Agent - Life3/25/19978/3/1999
InactiveCentre Life Insurance Company300341Agent - Health11/11/19973/31/1999
InactiveChase Insurance Life and Annuity Company300518Agent - Health8/3/19933/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Life8/3/19933/31/1997
InactiveColonial Life and Accident Insurance Company300846Agent - Health7/31/20061/10/2012
InactiveColonial Life and Accident Insurance Company300846Agent - Life7/31/20061/10/2012
InactiveCompBenefits Dental, Inc.591692Agent - Health10/23/200712/8/2015
InactiveCompBenefits Insurance Company301864Agent - Health10/23/20077/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life10/23/20077/2/2013
InactiveConseco Medical Insurance Company300719Agent - Health2/12/199712/31/1998
InactiveConseco Medical Insurance Company300719Agent - Life2/12/199712/31/1998
InactiveDental Care Plus Inc.301495Agent - Health7/25/20163/15/2019
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20094/20/2018
InactiveEmpower Annuity Insurance Company of America300259Agent - Health3/6/19985/23/2003
InactiveEmpower Annuity Insurance Company of America300259Agent - Life7/10/20093/7/2011
InactiveEmpower Annuity Insurance Company of America300259Agent - Variable Life and Variable Annuities7/10/200910/27/2014
InactiveFidelity Security Life Insurance Company300466Agent - Health7/8/20053/27/2019
InactiveFidelity Security Life Insurance Company300466Agent - Life7/8/20053/27/2019
InactiveFirst Colony Life Insurance Company301179Agent - Life4/8/19991/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health3/11/201512/14/2016
InactiveGenworth Life Insurance Company300623Agent - Life3/11/201512/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health9/3/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life9/3/200912/7/2012
InactiveGuarantee Life Insurance Company301560Agent - Health1/8/19989/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life1/8/19989/8/2000
InactiveGuardian Life Insurance Company of America301316Agent - Health10/15/20141/31/2019
InactiveGuardian Life Insurance Company of America301316Agent - Life10/15/20141/31/2019
InactiveHCC Life Insurance Company301827Agent - Health9/8/201010/2/2012
InactiveHCC Life Insurance Company301827Agent - Life9/8/201010/2/2012
InactiveHartford Life and Accident Insurance Company300878Agent - Health3/26/20133/4/2019
InactiveHartford Life and Accident Insurance Company300878Agent - Life3/26/20133/4/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health12/16/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20014/20/2018
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization9/30/19883/1/2001
InactiveHumana Insurance Company301104Agent - Health4/7/19954/20/2018
InactiveHumana Insurance Company301104Agent - Life4/7/19954/20/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/30/20044/20/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/30/20044/20/2018
InactiveHumanaDental Insurance Company301457Agent - Health11/26/20085/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life11/26/20085/13/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health4/29/200212/11/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Life4/29/200212/11/2003
InactiveInter-State Assurance Company301556Agent - Life9/17/19962/14/2002
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health9/8/20007/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life9/8/20007/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health4/18/20111/24/2013
InactiveJohn Alden Life Insurance Company300573Agent - Life4/18/20111/24/2013
InactiveKanawha Insurance Company300127Agent - Health5/6/201310/22/2015
InactiveKanawha Insurance Company300127Agent - Life4/11/20084/25/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/8/20156/27/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/8/20156/27/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/8/20156/27/2017
InactiveManhattan National Life Insurance Company301011Agent - Health2/15/19994/9/2001
InactiveManhattan National Life Insurance Company301011Agent - Life2/15/19994/9/2001
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life10/23/201311/15/2017
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health6/13/19908/3/1999
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life6/13/19908/3/1999
InactiveMetropolitan Life Insurance Company301948Agent - Health5/13/199611/17/2016
InactiveMetropolitan Life Insurance Company301948Agent - Life5/13/199611/17/2016
InactiveMidland Life Insurance Company (The)300310Agent - Health4/24/19983/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life4/24/19983/31/2001
InactiveMutual of Omaha Insurance Company301012Agent - Health3/29/20027/11/2003
InactiveNorth American Company for Life and Health Insurance300291Agent - Life1/18/20032/13/2018
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life9/5/19966/5/1998
InactivePan-American Assurance Company301533Agent - Health12/31/19989/29/2004
InactivePan-American Assurance Company301533Agent - Life12/31/19989/29/2004
InactivePan-American Life Insurance Company301530Agent - Health12/31/19989/29/2004
InactivePan-American Life Insurance Company301530Agent - Life12/31/19989/29/2004
InactivePaul Revere Life Insurance Company300971Agent - Health8/29/19958/24/2000
InactivePaul Revere Life Insurance Company300971Agent - Life8/29/19958/24/2000
InactivePrincipal Life Insurance Company300129Agent - Health4/10/19871/31/2019
InactivePrincipal Life Insurance Company300129Agent - Life4/10/19871/31/2019
InactiveProtective Life Insurance Company300638Agent - Health4/13/20151/31/2019
InactiveProtective Life Insurance Company300638Agent - Life4/13/20151/31/2019
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/13/20151/31/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/4/20111/31/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/4/20111/31/2019
InactivePruco Life Insurance Company300954Agent - Life4/16/201511/27/2017
InactiveReassure America Life Insurance Company301902Agent - Health3/16/19941/3/2003
InactiveReassure America Life Insurance Company301902Agent - Life3/16/19941/3/2003
InactiveReliaStar Life Insurance Company301712Agent - Health3/28/20112/27/2016
InactiveReliaStar Life Insurance Company301712Agent - Life3/28/20112/27/2016
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities3/28/20112/27/2016
InactiveReliance Standard Life Insurance Company300584Agent - Health4/17/20091/31/2019
InactiveReliance Standard Life Insurance Company300584Agent - Life4/17/20091/31/2019
InactiveSecurity Life of Denver Insurance Company300648Agent - Health3/28/20119/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life3/28/20119/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities3/28/20119/29/2012
InactiveStandard Insurance Company300185Agent - Health5/4/20051/31/2019
InactiveStandard Insurance Company300185Agent - Life5/4/20051/31/2019
InactiveSymetra Life Insurance Company301691Agent - Health6/2/199312/28/2004
InactiveSymetra Life Insurance Company301691Agent - Life6/2/199312/28/2004
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities4/20/200112/28/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Health2/20/20041/28/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life2/20/20041/28/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities3/25/20041/28/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health2/20/20041/28/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life2/20/20041/28/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/25/20041/28/2009
InactiveTime Insurance Company300683Agent - Health10/30/201212/20/2014
InactiveTime Insurance Company300683Agent - Life10/30/201212/20/2014
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health6/12/199812/4/2001
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life6/12/199812/4/2001
InactiveUNUM Life Insurance Company of America300817Agent - Health1/4/20111/31/2019
InactiveUNUM Life Insurance Company of America300817Agent - Life1/4/20111/31/2019
InactiveUnion Security Insurance Company301844Agent - Health12/27/200012/28/2007
InactiveUnion Security Insurance Company301844Agent - Life12/27/200012/28/2007
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/29/20172/12/2018
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/29/20172/12/2018
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/2/200312/12/2009
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/1/200112/12/2009
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health Maintenance Organization1/9/19983/1/2001
InactiveVenerable Insurance and Annuity Company301006Agent - Health6/8/20078/28/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Life6/8/20078/28/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities6/8/20078/28/2008
InactiveWashington National Insurance Company300587Agent - Health5/25/19953/31/1997
InactiveWashington National Insurance Company300587Agent - Life5/25/19953/31/1997
InactiveWellpoint Life and Health Insurance Company300469Agent - Health6/13/19903/31/1997
InactiveWellpoint Life and Health Insurance Company300469Agent - Life6/13/19903/31/1997
InactiveWest Coast Life Insurance Company301607Agent - Life12/23/200411/16/2011
InactiveWilcac Life Insurance Company301573Agent - Health3/16/199411/17/2000
InactiveWilcac Life Insurance Company301573Agent - Life3/16/199411/17/2000
Inactive300277Agent - Life3/18/20041/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life11/3/19996/21/2008
InactiveArison Insurance Services, Inc.401001Agent - Health11/3/19996/21/2008
InactiveAssuredpartners Nl, Llc762387Agent - Life1/22/20151/31/2019
InactiveAssuredpartners Nl, Llc762387Agent - Health1/22/20151/31/2019
InactiveCBISA Reaquisitian Corp547026Agent - Life12/20/20021/31/2019
InactiveCBISA Reaquisitian Corp547026Agent - Health12/20/20021/31/2019
InactiveDesignated Agent Company Inc.681257Agent - Life12/5/20131/31/2019
InactiveDesignated Agent Company Inc.681257Agent - Health12/5/20131/31/2019
InactiveHukill Hazlett Harrington Agency, Inc.521674Agent - Life9/27/20053/31/2017
InactiveHukill Hazlett Harrington Agency, Inc.521674Agent - Health9/27/20053/31/2017
InactiveInsurance One Inc.399840Agent - Life10/21/19915/31/2004
InactiveInsurance One Inc.399840Agent - Health10/21/19915/31/2004

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