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DEPARTMENT OF INSURANCE
Affiliations
Name
Cook, Mary Ann
DOIID
384103
NAIC NPN
1640950
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
5/31/1990
3/11/2013
Inactive
Resident
Agent
Health
6/14/1993
3/11/2013
Inactive
Resident
Agent
Variable Life and Variable Annuities
4/9/2001
3/11/2013
Inactive
Resident
Agent
Health Maintenance Organization
11/24/1997
3/1/2001
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
7/8/2004
12/28/2006
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
7/8/2004
12/28/2006
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
12/3/2009
1/13/2012
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
12/3/2009
1/13/2012
Inactive
American National Insurance Company
301861
Agent - Health
1/19/2004
3/11/2013
Inactive
American National Insurance Company
301861
Agent - Life
1/19/2004
3/11/2013
Inactive
Anthem Life Insurance Company
301209
Agent - Health
9/24/1996
3/11/2013
Inactive
Anthem Life Insurance Company
301209
Agent - Life
9/24/1996
3/11/2013
Inactive
Athene Annuity and Life Company
301893
Agent - Life
5/20/2002
11/1/2007
Inactive
Bankers Life and Casualty Company
300701
Agent - Health
7/25/1995
3/31/1997
Inactive
Bankers Life and Casualty Company
300701
Agent - Life
7/25/1995
3/31/1997
Inactive
Bankers United Life Assurance Company
300296
Agent - Health
4/27/1995
1/3/2001
Inactive
Bankers United Life Assurance Company
300296
Agent - Life
4/27/1995
1/3/2001
Inactive
Canada Life Assurance Company
301192
Agent - Health
3/12/1998
5/25/2001
Inactive
Canada Life Assurance Company
301192
Agent - Life
3/12/1998
5/25/2001
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
6/6/1994
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
6/6/1994
4/1/2007
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Health
6/14/1993
3/31/1997
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
6/14/1993
3/31/1997
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
4/1/2010
9/8/2010
Inactive
CompBenefits Insurance Company
301864
Agent - Health
4/1/2010
9/8/2010
Inactive
CompBenefits Insurance Company
301864
Agent - Life
4/1/2010
9/8/2010
Inactive
Conseco Insurance Company
301202
Agent - Life
1/25/1995
2/18/2002
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
3/19/1996
7/1/2003
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
3/19/1996
7/1/2003
Inactive
Continental Casualty Company
301019
Agent - Health
4/29/1998
12/30/1999
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/31/2003
3/11/2013
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
9/8/2010
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
11/12/2008
3/11/2013
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
9/11/1995
12/23/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
9/11/1995
12/23/2008
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
1/12/2009
5/20/2009
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
1/12/2009
5/20/2009
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
12/3/2008
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
12/3/2008
12/7/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Health
1/19/1995
12/1/2000
Inactive
Golden Rule Insurance Company
301943
Agent - Life
1/19/1995
12/1/2000
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
9/13/2002
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
11/24/1997
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
4/20/2005
9/8/2010
Inactive
Humana Insurance Company
301104
Agent - Life
4/20/2005
9/8/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
4/19/2005
9/8/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
4/19/2005
9/8/2010
Inactive
Indianapolis Life Insurance Company
301381
Agent - Life
5/10/2002
11/29/2007
Inactive
Integrity Life Insurance Company
301687
Agent - Life
12/17/1998
11/25/2008
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
3/11/2003
11/25/2008
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
10/4/2005
5/13/2009
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
10/4/2005
5/13/2009
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
8/12/2004
6/8/2006
Inactive
Keyport Life Insurance Company
300319
Agent - Life
4/29/2003
12/31/2003
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Health
12/15/2010
2/14/2013
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Life
12/15/2010
2/14/2013
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
2/22/1996
3/31/2001
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
2/22/1996
3/31/2001
Inactive
Midland National Life Insurance Company
300923
Agent - Health
7/1/2002
7/22/2003
Inactive
Midland National Life Insurance Company
300923
Agent - Life
1/14/2002
7/22/2003
Inactive
National Foundation Life Insurance Company
300084
Agent - Health
6/25/1996
9/1/1998
Inactive
National Foundation Life Insurance Company
300084
Agent - Life
6/25/1996
9/1/1998
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
10/14/2002
2/11/2005
Inactive
Pacific Life Insurance Company
301848
Agent - Health
3/19/1997
3/11/2013
Inactive
Pacific Life Insurance Company
301848
Agent - Life
3/19/1997
5/20/2003
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/1/2007
12/17/2010
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
12/17/2010
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
10/12/2000
10/24/2003
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
10/5/1995
10/24/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
8/6/1997
1/2/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
8/6/1997
1/2/2003
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
10/20/1997
12/11/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
10/20/1997
12/11/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
7/17/2001
12/11/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
10/20/1997
12/11/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
10/20/1997
12/11/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
7/17/2001
12/11/2009
Inactive
Time Insurance Company
300683
Agent - Health
11/3/2008
9/10/2009
Inactive
Time Insurance Company
300683
Agent - Life
11/3/2008
9/10/2009
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
12/19/1994
12/21/1998
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
12/19/1994
12/21/1998
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
10/12/2000
10/24/2003
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
10/12/2000
10/24/2003
Inactive
USG Annuity & Life Company
300457
Agent - Life
8/31/2001
3/11/2002
Inactive
Union Security Insurance Company
301844
Agent - Health
8/11/1995
11/13/2003
Inactive
Union Security Insurance Company
301844
Agent - Life
8/11/1995
11/13/2003
Inactive
United Investors Life Insurance Company
301873
Agent - Life
3/12/2002
12/31/2004
Inactive
United Investors Life Insurance Company
301873
Agent - Variable Life and Variable Annuities
3/12/2002
12/31/2004
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
10/18/1993
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
10/18/1993
3/31/1997
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
4/5/2005
8/27/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
4/5/2005
8/27/2008
Inactive
Washington National Insurance Company
300587
Agent - Health
7/1/2003
3/8/2005
Inactive
Washington National Insurance Company
300587
Agent - Life
7/1/2003
3/8/2005
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Health
5/16/2007
12/9/2008
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
5/16/2007
12/9/2008
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
5/16/2007
12/9/2008
Inactive
Wilco Life Insurance Company
300122
Agent - Life
3/1/2002
8/18/2003
Inactive
Wilton Reassurance Life Company of New York
300163
Agent - Life
8/12/2004
6/8/2006
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
8/31/1994
7/13/2011
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 - Health
8/28/1996
2/10/2004
Inactive
Acordia Senior of The Southeast Inc.
401297
Agent - Life
8/28/1996
2/10/2004
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
6/25/1996
6/21/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
6/25/1996
6/21/2008
Inactive
Designated Agent Company Inc.
681257
Agent - Health
6/28/2008
3/11/2013
Inactive
Designated Agent Company Inc.
681257
Agent - Life
6/28/2008
3/11/2013
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Inactive
JP Newco Inc.
545168
Agent - Health
10/18/2002
3/31/2006
Inactive
JP Newco Inc.
545168
Agent - Life
10/18/2002
3/31/2006
Inactive
Medlink Inc
400721
Agent - Health
9/24/2002
3/11/2013
Inactive
Medlink Inc
400721
Agent - Life
9/24/2002
3/11/2013
Inactive
United Securities Alliance, Inc.
524470
Agent - Health
10/14/2002
1/11/2005
Inactive
United Securities Alliance, Inc.
524470
Agent - Life
10/14/2002
1/11/2005
Inactive
United Securities Alliance, Inc.
524470
Agent - Variable Life and Variable Annuities
10/14/2002
1/11/2005
Inactive
World Financial Group Insurance Agency, LLC
400520
Agent - Health
12/22/2004
6/5/2009
Inactive
World Financial Group Insurance Agency, LLC
400520
Agent - Life
12/22/2004
6/5/2009
Inactive
World Financial Group Insurance Agency, LLC
400520
Agent - Variable Life and Variable Annuities
12/22/2004
6/5/2009
Inactive
World Marketing Alliance Inc.
398156
Agent - Health
10/23/1997
2/18/2002
Inactive
World Marketing Alliance Inc.
398156
Agent - Life
10/23/1997
2/18/2002
Inactive
World Marketing Alliance Inc.
398156
Agent - Variable Life and Variable Annuities
4/25/2001
2/18/2002
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