DEPARTMENT OF INSURANCE
Affiliations
NameCook, Mary AnnDOIID384103NAIC NPN1640950
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife5/31/19903/11/2013 
InactiveResidentAgentHealth6/14/19933/11/2013 
InactiveResidentAgentVariable Life and Variable Annuities4/9/20013/11/2013 
InactiveResidentAgentHealth Maintenance Organization11/24/19973/1/2001 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Life7/8/200412/28/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities7/8/200412/28/2006
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health12/3/20091/13/2012
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life12/3/20091/13/2012
InactiveAmerican National Insurance Company301861Agent - Health1/19/20043/11/2013
InactiveAmerican National Insurance Company301861Agent - Life1/19/20043/11/2013
InactiveAnthem Life Insurance Company301209Agent - Health9/24/19963/11/2013
InactiveAnthem Life Insurance Company301209Agent - Life9/24/19963/11/2013
InactiveAthene Annuity and Life Company301893Agent - Life5/20/200211/1/2007
InactiveBankers Life and Casualty Company300701Agent - Health7/25/19953/31/1997
InactiveBankers Life and Casualty Company300701Agent - Life7/25/19953/31/1997
InactiveBankers United Life Assurance Company300296Agent - Health4/27/19951/3/2001
InactiveBankers United Life Assurance Company300296Agent - Life4/27/19951/3/2001
InactiveCanada Life Assurance Company301192Agent - Health3/12/19985/25/2001
InactiveCanada Life Assurance Company301192Agent - Life3/12/19985/25/2001
InactiveChase Insurance Life and Annuity Company300518Agent - Health6/6/19944/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life6/6/19944/1/2007
InactiveClarica Life Insurance Company - U.S.300207Agent - Health6/14/19933/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Life6/14/19933/31/1997
InactiveCompBenefits Dental, Inc.591692Agent - Health4/1/20109/8/2010
InactiveCompBenefits Insurance Company301864Agent - Health4/1/20109/8/2010
InactiveCompBenefits Insurance Company301864Agent - Life4/1/20109/8/2010
InactiveConseco Insurance Company301202Agent - Life1/25/19952/18/2002
InactiveConseco Medical Insurance Company300719Agent - Health3/19/19967/1/2003
InactiveConseco Medical Insurance Company300719Agent - Life3/19/19967/1/2003
InactiveContinental Casualty Company301019Agent - Health4/29/199812/30/1999
InactiveDelaware Life Insurance Company301256Agent - Life12/31/20033/11/2013
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20099/8/2010
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life11/12/20083/11/2013
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health9/11/199512/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life9/11/199512/23/2008
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life1/12/20095/20/2009
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities1/12/20095/20/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health12/3/200812/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life12/3/200812/7/2012
InactiveGolden Rule Insurance Company301943Agent - Health1/19/199512/1/2000
InactiveGolden Rule Insurance Company301943Agent - Life1/19/199512/1/2000
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20019/13/2002
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization11/24/19973/1/2001
InactiveHumana Insurance Company301104Agent - Health4/20/20059/8/2010
InactiveHumana Insurance Company301104Agent - Life4/20/20059/8/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Health4/19/20059/8/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Life4/19/20059/8/2010
InactiveIndianapolis Life Insurance Company301381Agent - Life5/10/200211/29/2007
InactiveIntegrity Life Insurance Company301687Agent - Life12/17/199811/25/2008
InactiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities3/11/200311/25/2008
InactiveJackson National Life Insurance Company300486Agent - Life10/4/20055/13/2009
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/4/20055/13/2009
InactiveJefferson National Life Insurance Company300258Agent - Life8/12/20046/8/2006
InactiveKeyport Life Insurance Company300319Agent - Life4/29/200312/31/2003
InactiveLincoln Heritage Life Insurance Company500016Agent - Health12/15/20102/14/2013
InactiveLincoln Heritage Life Insurance Company500016Agent - Life12/15/20102/14/2013
InactiveMidland Life Insurance Company (The)300310Agent - Health2/22/19963/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life2/22/19963/31/2001
InactiveMidland National Life Insurance Company300923Agent - Health7/1/20027/22/2003
InactiveMidland National Life Insurance Company300923Agent - Life1/14/20027/22/2003
InactiveNational Foundation Life Insurance Company300084Agent - Health6/25/19969/1/1998
InactiveNational Foundation Life Insurance Company300084Agent - Life6/25/19969/1/1998
InactiveNorth American Company for Life and Health Insurance300291Agent - Life10/14/20022/11/2005
InactivePacific Life Insurance Company301848Agent - Health3/19/19973/11/2013
InactivePacific Life Insurance Company301848Agent - Life3/19/19975/20/2003
InactiveProtective Life Insurance Company300638Agent - Health4/1/200712/17/2010
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/17/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/12/200010/24/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/5/199510/24/2003
InactiveReassure America Life Insurance Company301902Agent - Health8/6/19971/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life8/6/19971/2/2003
InactiveTalcott Resolution Life Insurance Company301759Agent - Health10/20/199712/11/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life10/20/199712/11/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities7/17/200112/11/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health10/20/199712/11/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life10/20/199712/11/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities7/17/200112/11/2009
InactiveTime Insurance Company300683Agent - Health11/3/20089/10/2009
InactiveTime Insurance Company300683Agent - Life11/3/20089/10/2009
InactiveU.S. Financial Life Insurance Company301812Agent - Health12/19/199412/21/1998
InactiveU.S. Financial Life Insurance Company301812Agent - Life12/19/199412/21/1998
InactiveUNUM Life Insurance Company of America300817Agent - Health10/12/200010/24/2003
InactiveUNUM Life Insurance Company of America300817Agent - Life10/12/200010/24/2003
InactiveUSG Annuity & Life Company300457Agent - Life8/31/20013/11/2002
InactiveUnion Security Insurance Company301844Agent - Health8/11/199511/13/2003
InactiveUnion Security Insurance Company301844Agent - Life8/11/199511/13/2003
InactiveUnited Investors Life Insurance Company301873Agent - Life3/12/200212/31/2004
InactiveUnited Investors Life Insurance Company301873Agent - Variable Life and Variable Annuities3/12/200212/31/2004
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/18/19933/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/18/19933/31/1997
InactiveVenerable Insurance and Annuity Company301006Agent - Life4/5/20058/27/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities4/5/20058/27/2008
InactiveWashington National Insurance Company300587Agent - Health7/1/20033/8/2005
InactiveWashington National Insurance Company300587Agent - Life7/1/20033/8/2005
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health5/16/200712/9/2008
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life5/16/200712/9/2008
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities5/16/200712/9/2008
InactiveWilco Life Insurance Company300122Agent - Life3/1/20028/18/2003
InactiveWilton Reassurance Life Company of New York300163Agent - Life8/12/20046/8/2006
InactiveZurich American Life Insurance Company300216Agent - Life8/31/19947/13/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia Senior of The Southeast Inc.401297Agent - Health8/28/19962/10/2004
InactiveAcordia Senior of The Southeast Inc.401297Agent - Life8/28/19962/10/2004
InactiveArison Insurance Services, Inc.401001Agent - Health6/25/19966/21/2008
InactiveArison Insurance Services, Inc.401001Agent - Life6/25/19966/21/2008
InactiveDesignated Agent Company Inc.681257Agent - Health6/28/20083/11/2013
InactiveDesignated Agent Company Inc.681257Agent - Life6/28/20083/11/2013
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveJP Newco Inc.545168Agent - Health10/18/20023/31/2006
InactiveJP Newco Inc.545168Agent - Life10/18/20023/31/2006
InactiveMedlink Inc400721Agent - Health9/24/20023/11/2013
InactiveMedlink Inc400721Agent - Life9/24/20023/11/2013
InactiveUnited Securities Alliance, Inc.524470Agent - Health10/14/20021/11/2005
InactiveUnited Securities Alliance, Inc.524470Agent - Life10/14/20021/11/2005
InactiveUnited Securities Alliance, Inc.524470Agent - Variable Life and Variable Annuities10/14/20021/11/2005
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Health12/22/20046/5/2009
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Life12/22/20046/5/2009
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Variable Life and Variable Annuities12/22/20046/5/2009
InactiveWorld Marketing Alliance Inc.398156Agent - Health10/23/19972/18/2002
InactiveWorld Marketing Alliance Inc.398156Agent - Life10/23/19972/18/2002
InactiveWorld Marketing Alliance Inc.398156Agent - Variable Life and Variable Annuities4/25/20012/18/2002

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