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DEPARTMENT OF INSURANCE
Affiliations
Name
Maxim, Charles W
DOIID
381314
NAIC NPN
759348
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Variable Life and Variable Annuities
5/15/2007
2/28/2027
Active
Non Resident
Agent
Health
5/15/2007
2/28/2027
Active
Non Resident
Agent
Life
5/15/2007
2/28/2027
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
3/1/2010
5/1/2012
Inactive
Aetna Life Insurance Company
301140
Agent - Health
3/1/2010
5/1/2012
Inactive
Aetna Life Insurance Company
301140
Agent - Life
3/1/2010
5/1/2012
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
3/31/2025
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
3/31/2025
Inactive
American States Life Insurance Company
301884
Agent - Health
11/1/1998
11/19/2001
Inactive
American States Life Insurance Company
301884
Agent - Life
11/1/1998
11/26/2001
Inactive
Delaware Life Insurance Company
301256
Agent - Life
3/26/2001
3/11/2003
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
6/11/2001
11/20/2002
Inactive
First Colony Life Insurance Company
301179
Agent - Health
10/7/2004
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
10/7/2004
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
3/31/1999
2/28/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
3/31/1999
2/28/2007
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
11/7/2007
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
11/7/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
5/4/2010
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
5/4/2010
12/7/2012
Active
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
12/11/2008
Active
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
12/11/2008
Inactive
Integrity Life Insurance Company
301687
Agent - Life
11/1/2005
2/28/2007
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
11/1/2005
2/28/2007
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
11/7/2019
11/2/2020
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
11/7/2019
4/11/2022
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
11/7/2019
4/11/2022
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
6/19/2003
2/28/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
6/19/2003
2/28/2007
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
11/8/2011
12/20/2016
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
11/8/2011
12/20/2016
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
4/8/2008
5/23/2019
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
4/8/2008
5/23/2019
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
4/8/2008
5/23/2019
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Life
7/27/2001
12/31/2001
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Variable Life and Variable Annuities
7/27/2001
12/31/2001
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
2/21/1996
1/22/2002
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
1/17/1995
5/4/2001
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
1/17/1995
5/4/2001
Active
Midland National Life Insurance Company
300923
Agent - Life
9/10/2024
Active
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
9/10/2024
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
2/16/2012
12/26/2012
Inactive
Nassau Life Insurance Company
301406
Agent - Health
12/19/1995
6/4/2001
Inactive
Nassau Life Insurance Company
301406
Agent - Life
12/19/1995
6/4/2001
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
8/9/1995
2/28/2007
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
8/9/1995
2/28/2007
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
12/11/1997
10/11/1999
Inactive
Northern Life Insurance Company
300301
Agent - Health
9/8/1995
3/31/1997
Inactive
Northern Life Insurance Company
300301
Agent - Life
9/8/1995
3/31/1997
Inactive
PHL Variable Insurance Company
300525
Agent - Health
12/19/1995
6/4/2001
Inactive
PHL Variable Insurance Company
300525
Agent - Life
12/19/1995
6/4/2001
Inactive
Physicians Life Insurance Company
300924
Agent - Life
7/2/2003
12/11/2006
Inactive
Physicians Mutual Insurance Company
301084
Agent - Health
7/2/2003
12/13/2006
Active
Principal Life Insurance Company
300129
Agent - Health
11/27/2007
Active
Principal Life Insurance Company
300129
Agent - Life
11/27/2007
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
10/4/1996
1/2/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
10/4/1996
1/2/2003
Inactive
Security Benefit Life Insurance Company
300583
Agent - Health
2/7/1997
6/29/2006
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
2/7/1997
6/29/2006
Inactive
Security Benefit Life Insurance Company
300583
Agent - Variable Life and Variable Annuities
4/13/2001
6/29/2006
Inactive
Symetra Life Insurance Company
301691
Agent - Health
5/22/1995
11/26/2001
Inactive
Symetra Life Insurance Company
301691
Agent - Life
5/22/1995
11/26/2001
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
5/31/2007
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
5/31/2007
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
5/31/2007
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
5/31/2007
12/16/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
5/31/2007
12/16/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
5/31/2007
12/16/2015
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
2/16/2012
12/26/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
2/16/2012
12/26/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
2/23/2006
2/28/2007
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
2/23/2006
2/28/2007
Inactive
West Coast Life Insurance Company
301607
Agent - Life
12/17/2007
12/15/2008
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
2/24/1999
2/28/2007
Inactive
Zurich American Life Insurance Company
300216
Agent - Variable Life and Variable Annuities
8/5/2002
2/28/2007
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Donahue Securities Inc.
398694
Agent - Life
5/16/1996
5/31/2003
Active
LPL FINANCIAL LLC
399327
Agent - Life
4/9/2013
Active
LPL FINANCIAL LLC
399327
Agent - Health
4/9/2013
Active
LPL FINANCIAL LLC
399327
Agent - Variable Life and Variable Annuities
4/9/2013
Active
Linsco/Private Ledger Insurance Associates, Inc.
400524
Agent - Life
4/12/2013
Active
Linsco/Private Ledger Insurance Associates, Inc.
400524
Agent - Health
4/12/2013
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