DEPARTMENT OF INSURANCE
Affiliations
NameEllis Jr, Carl LDOIID392737NAIC NPN6789101
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentVariable Life and Variable Annuities5/31/200112/1/2013 
InactiveResidentAgentHealth7/2/199612/1/2013 
InactiveResidentAgentLife7/2/199612/1/2013 
InactiveResidentTemporary AgentOrdinary Life (Temporary Life)5/21/19967/2/1996 
InactiveResidentTemporary AgentDebit (Temporary Health)5/21/19967/2/1996 
* 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 - Health3/7/200212/24/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/7/200212/24/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/4/200312/24/2013
InactiveAmeribest Life Insurance Company301390Agent - Life7/31/20004/16/2001
InactiveBrighthouse Life Insurance Company301829Agent - Health12/7/20073/2/2010
InactiveBrighthouse Life Insurance Company301829Agent - Life12/7/20073/2/2010
InactiveChase Insurance Life and Annuity Company300518Agent - Health9/1/20004/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life9/1/20004/1/2007
InactiveContinental General Insurance Company300691Agent - Health7/24/199610/20/1997
InactiveContinental General Insurance Company300691Agent - Life7/24/199610/20/1997
InactiveDelaware Life Insurance Company301256Agent - Life6/5/200711/3/2009
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities6/5/200711/3/2009
InactiveEquitable Life Insurance Company of Iowa301633Agent - Health2/19/20011/1/2004
InactiveEquitable Life Insurance Company of Iowa301633Agent - Life2/19/20011/1/2004
InactiveEquitable Life Insurance Company of Iowa301633Agent - Variable Life and Variable Annuities7/3/20011/1/2004
InactiveEverlake Life Insurance Company300873Agent - Health1/1/20031/26/2005
InactiveEverlake Life Insurance Company300873Agent - Life8/10/200011/6/2001
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities4/19/20013/31/2003
InactiveFirst Colony Life Insurance Company301179Agent - Life6/22/199812/20/2006
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health5/15/200711/5/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life5/15/200711/5/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities5/15/200711/5/2012
InactiveGenworth Life Insurance Company300623Agent - Health6/19/200112/9/2008
InactiveGenworth Life Insurance Company300623Agent - Life6/19/200112/9/2008
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/6/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life4/6/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities6/15/200110/4/2009
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life9/28/200012/17/2002
InactiveJohn Hancock Life Insurance Company300821Agent - Health2/1/200211/28/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Life2/1/200211/18/2004
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities2/1/200211/18/2004
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/27/20034/18/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/27/20034/18/2012
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health2/1/200212/1/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life2/1/200211/18/2004
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities2/1/200211/18/2004
InactiveKeyport Life Insurance Company300319Agent - Life7/1/199812/20/1999
DeniedManufacturers Life Insurance Company of North America301899Agent - Life  
InactiveMetLife Investors Insurance Company301872Agent - Health8/9/200711/5/2012
InactiveMetLife Investors Insurance Company301872Agent - Life8/9/200711/5/2012
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities8/9/200711/5/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Health8/9/200711/5/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Life8/9/200711/5/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities8/9/200711/5/2012
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health7/31/200012/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life7/31/200012/7/2007
InactiveNationwide Life Insurance Company300495Agent - Health7/27/200012/16/2004
InactiveNationwide Life Insurance Company300495Agent - Life7/27/200012/16/2004
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities12/10/200112/16/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life12/10/200112/16/2004
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/31/200611/12/2012
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities1/31/200611/12/2012
InactiveNorthbrook Life Insurance Company301020Agent - Health4/29/19981/1/2003
InactiveNorthbrook Life Insurance Company301020Agent - Life4/29/19983/19/2001
InactivePacific Life Insurance Company301848Agent - Life7/28/20002/4/2013
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities5/31/20012/4/2013
InactiveProtective Life Insurance Company300638Agent - Health4/1/200712/16/2010
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/16/2010
InactivePruco Life Insurance Company300954Agent - Health5/15/200711/5/2012
InactivePruco Life Insurance Company300954Agent - Life5/15/200711/5/2012
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/15/200711/5/2012
InactiveSun Life Assurance Company of Canada301811Agent - Life6/5/200711/3/2009
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life8/21/200011/30/2010
InactiveSunAmerica Life Insurance Company300096Agent - Life7/28/20003/31/2003
InactiveTalcott Resolution Life Insurance Company301759Agent - Health10/28/199811/25/2013
InactiveTalcott Resolution Life Insurance Company301759Agent - Life10/28/199811/25/2013
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities5/31/200111/25/2013
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health10/28/199811/25/2013
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life10/28/199811/25/2013
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities5/31/200111/25/2013
InactiveTransamerica Life Insurance Company300571Agent - Life1/30/200312/5/2012
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities1/30/200312/5/2012
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life1/30/200310/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Variable Life and Variable Annuities1/30/200310/1/2008
InactiveUSG Annuity & Life Company300457Agent - Health4/19/20011/1/2004
InactiveUSG Annuity & Life Company300457Agent - Life4/19/20011/1/2004
InactiveVenerable Insurance and Annuity Company301006Agent - Health1/1/200412/16/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Life7/3/20018/27/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities7/3/20018/27/2008
InactiveWestern and Southern Life Insurance Company301744Agent - Health7/2/19969/25/1997
InactiveWestern and Southern Life Insurance Company301744Agent - Life7/2/19969/25/1997
InactiveWestern and Southern Life Insurance Company301744Temporary Agent - Debit (Temporary Health)5/21/19967/2/1996
InactiveWestern and Southern Life Insurance Company301744Temporary Agent - Ordinary Life (Temporary Life)5/21/19967/2/1996
InactiveWestern-Southern Life Assurance Company301590Agent - Health7/2/19969/25/1997
InactiveWestern-Southern Life Assurance Company301590Agent - Life7/2/19969/25/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKey Corp Insurance Agency USA Inc.520777Agent - Life7/10/20012/21/2003
InactiveKey Corp Insurance Agency USA Inc.520777Agent - Health7/10/20012/21/2003
InactiveKey Corp Insurance Agency USA Inc.520777Agent - Variable Life and Variable Annuities7/10/20012/21/2003
InactiveRaymond James Insurance Group, Inc.398342Agent - Life6/13/200312/1/2013
InactiveRaymond James Insurance Group, Inc.398342Agent - Health6/13/200312/1/2013
InactiveRaymond James Insurance Group, Inc.398342Agent - Variable Life and Variable Annuities6/13/200312/1/2013

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