DEPARTMENT OF INSURANCE
Affiliations
NameBlack Jr, William HowardDOIID394319NAIC NPN256500
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/29/1994 10/31/2025
ActiveNon ResidentAgentHealth9/29/1994 10/31/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities5/31/2001 10/31/2025
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health11/12/200812/20/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/15/20213/4/2025
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities1/21/20212/24/2025
ActiveBanner Life Insurance Company301696Agent - Life4/9/2013 
InactiveEquitable Financial Life Insurance Company300808Agent - Health10/19/20156/7/2024
InactiveEquitable Financial Life Insurance Company300808Agent - Life10/19/20156/7/2024
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities10/19/20156/7/2024
InactiveEquitable Financial Life Insurance Company of America301772Agent - Health10/19/20156/7/2024
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life10/19/20156/7/2024
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities10/19/20156/7/2024
InactiveFirst Colony Life Insurance Company301179Agent - Life7/29/20051/1/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/4/2007
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health3/23/201111/19/2016
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/23/201111/19/2016
InactiveLincoln Benefit Life Company301110Agent - Health12/4/19977/13/2006
InactiveLincoln Benefit Life Company301110Agent - Life12/4/19977/13/2006
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities5/31/20017/13/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/22/20189/23/2020
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/22/20189/23/2020
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/22/20189/23/2020
InactiveMutual of Omaha Insurance Company301012Agent - Health11/21/20037/15/2005
ActivePacific Life Insurance Company301848Agent - Health10/17/2012 
InactivePacific Life Insurance Company301848Agent - Life10/17/20129/26/2017
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities10/17/20129/26/2017
ActivePenn Insurance and Annuity Company300712Agent - Health12/4/2003 
ActivePenn Insurance and Annuity Company300712Agent - Life12/4/2003 
ActivePenn Mutual Life Insurance Company301394Agent - Health12/4/2003 
ActivePenn Mutual Life Insurance Company301394Agent - Life12/4/2003 
InactiveReliaStar Life Insurance Company301712Agent - Health10/1/200310/13/2012
InactiveReliaStar Life Insurance Company301712Agent - Life10/1/200310/13/2012
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health9/29/199410/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life9/29/199410/1/2003
InactiveTalcott Resolution Life Insurance Company301759Agent - Health7/3/200711/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life7/3/200711/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities7/3/200711/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health7/3/200711/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life7/3/200711/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities7/3/200711/16/2011
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/21/20037/15/2005
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/21/20037/15/2005
InactiveWest Coast Life Insurance Company301607Agent - Health8/22/199512/8/2008
InactiveWest Coast Life Insurance Company301607Agent - Life8/22/199512/8/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFirst Allied Securities, Inc.522716Agent - Life10/26/20124/9/2013
InactiveFirst Allied Securities, Inc.522716Agent - Health10/26/20124/9/2013
InactiveFirst Allied Securities, Inc.522716Agent - Variable Life and Variable Annuities10/26/20124/9/2013

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