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DEPARTMENT OF INSURANCE
Affiliations
Name
Ellis Jr, Carl L
DOIID
392737
NAIC NPN
6789101
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
12/1/2013
Inactive
Resident
Agent
Health
7/2/1996
12/1/2013
Inactive
Resident
Agent
Life
7/2/1996
12/1/2013
Inactive
Resident
Temporary Agent
Ordinary Life (Temporary Life)
5/21/1996
7/2/1996
Inactive
Resident
Temporary Agent
Debit (Temporary Health)
5/21/1996
7/2/1996
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
3/7/2002
12/24/2013
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
3/7/2002
12/24/2013
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
4/4/2003
12/24/2013
Inactive
Ameribest Life Insurance Company
301390
Agent - Life
7/31/2000
4/16/2001
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
12/7/2007
3/2/2010
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/7/2007
3/2/2010
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
9/1/2000
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
9/1/2000
4/1/2007
Inactive
Continental General Insurance Company
300691
Agent - Health
7/24/1996
10/20/1997
Inactive
Continental General Insurance Company
300691
Agent - Life
7/24/1996
10/20/1997
Inactive
Delaware Life Insurance Company
301256
Agent - Life
6/5/2007
11/3/2009
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
6/5/2007
11/3/2009
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Health
2/19/2001
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Life
2/19/2001
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Variable Life and Variable Annuities
7/3/2001
1/1/2004
Inactive
Everlake Life Insurance Company
300873
Agent - Health
1/1/2003
1/26/2005
Inactive
Everlake Life Insurance Company
300873
Agent - Life
8/10/2000
11/6/2001
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
4/19/2001
3/31/2003
Inactive
First Colony Life Insurance Company
301179
Agent - Life
6/22/1998
12/20/2006
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Health
5/15/2007
11/5/2012
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
5/15/2007
11/5/2012
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
5/15/2007
11/5/2012
Inactive
Genworth Life Insurance Company
300623
Agent - Health
6/19/2001
12/9/2008
Inactive
Genworth Life Insurance Company
300623
Agent - Life
6/19/2001
12/9/2008
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
4/6/2010
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
4/6/2010
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
6/15/2001
10/4/2009
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
9/28/2000
12/17/2002
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
2/1/2002
11/28/2005
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
2/1/2002
11/18/2004
Inactive
John Hancock Life Insurance Company
300821
Agent - Variable Life and Variable Annuities
2/1/2002
11/18/2004
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
3/27/2003
4/18/2012
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
3/27/2003
4/18/2012
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Health
2/1/2002
12/1/2005
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
2/1/2002
11/18/2004
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Variable Life and Variable Annuities
2/1/2002
11/18/2004
Inactive
Keyport Life Insurance Company
300319
Agent - Life
7/1/1998
12/20/1999
Denied
Manufacturers Life Insurance Company of North America
301899
Agent - Life
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
8/9/2007
11/5/2012
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
8/9/2007
11/5/2012
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
8/9/2007
11/5/2012
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
8/9/2007
11/5/2012
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
8/9/2007
11/5/2012
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
8/9/2007
11/5/2012
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Health
7/31/2000
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
7/31/2000
12/7/2007
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
7/27/2000
12/16/2004
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
7/27/2000
12/16/2004
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
12/10/2001
12/16/2004
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
12/10/2001
12/16/2004
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
1/31/2006
11/12/2012
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
1/31/2006
11/12/2012
Inactive
Northbrook Life Insurance Company
301020
Agent - Health
4/29/1998
1/1/2003
Inactive
Northbrook Life Insurance Company
301020
Agent - Life
4/29/1998
3/19/2001
Inactive
Pacific Life Insurance Company
301848
Agent - Life
7/28/2000
2/4/2013
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
5/31/2001
2/4/2013
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/1/2007
12/16/2010
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
12/16/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Health
5/15/2007
11/5/2012
Inactive
Pruco Life Insurance Company
300954
Agent - Life
5/15/2007
11/5/2012
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
5/15/2007
11/5/2012
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
6/5/2007
11/3/2009
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
8/21/2000
11/30/2010
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
7/28/2000
3/31/2003
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
10/28/1998
11/25/2013
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
10/28/1998
11/25/2013
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
5/31/2001
11/25/2013
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
10/28/1998
11/25/2013
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
10/28/1998
11/25/2013
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
5/31/2001
11/25/2013
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
1/30/2003
12/5/2012
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
1/30/2003
12/5/2012
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
1/30/2003
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
1/30/2003
10/1/2008
Inactive
USG Annuity & Life Company
300457
Agent - Health
4/19/2001
1/1/2004
Inactive
USG Annuity & Life Company
300457
Agent - Life
4/19/2001
1/1/2004
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
1/1/2004
12/16/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
7/3/2001
8/27/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
7/3/2001
8/27/2008
Inactive
Western and Southern Life Insurance Company
301744
Agent - Health
7/2/1996
9/25/1997
Inactive
Western and Southern Life Insurance Company
301744
Agent - Life
7/2/1996
9/25/1997
Inactive
Western and Southern Life Insurance Company
301744
Temporary Agent - Debit (Temporary Health)
5/21/1996
7/2/1996
Inactive
Western and Southern Life Insurance Company
301744
Temporary Agent - Ordinary Life (Temporary Life)
5/21/1996
7/2/1996
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
7/2/1996
9/25/1997
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
7/2/1996
9/25/1997
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Key Corp Insurance Agency USA Inc.
520777
Agent - Life
7/10/2001
2/21/2003
Inactive
Key Corp Insurance Agency USA Inc.
520777
Agent - Health
7/10/2001
2/21/2003
Inactive
Key Corp Insurance Agency USA Inc.
520777
Agent - Variable Life and Variable Annuities
7/10/2001
2/21/2003
Inactive
Raymond James Insurance Group, Inc.
398342
Agent - Life
6/13/2003
12/1/2013
Inactive
Raymond James Insurance Group, Inc.
398342
Agent - Health
6/13/2003
12/1/2013
Inactive
Raymond James Insurance Group, Inc.
398342
Agent - Variable Life and Variable Annuities
6/13/2003
12/1/2013
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