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DEPARTMENT OF INSURANCE
Affiliations
Name
Allmerica Investment Ins Agency Inc of Kentucky
DOIID
398680
NAIC NPN
7221100
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
8/1/2002
2/27/2004
Inactive
Resident
Agent
Health
10/29/1999
2/27/2004
Inactive
Resident
Agent
Life
10/29/1999
2/27/2004
* 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
Augustar Life Insurance Company
301816
Agent - Health
2/14/2000
2/27/2004
Inactive
Augustar Life Insurance Company
301816
Agent - Life
2/14/2000
2/27/2004
Inactive
C.M. Life Insurance Company
301335
Agent - Health
6/12/2000
2/27/2004
Inactive
C.M. Life Insurance Company
301335
Agent - Life
6/12/2000
2/27/2004
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
10/29/1999
2/27/2004
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
10/29/1999
2/27/2004
Inactive
Everlake Life Insurance Company
300873
Agent - Life
1/29/2001
2/27/2004
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
12/16/1999
2/27/2004
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
1/13/2003
2/27/2004
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
11/14/2003
2/27/2004
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
11/14/2003
2/27/2004
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
1/28/2002
2/27/2004
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
8/1/2002
2/27/2004
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
1/10/2000
2/27/2004
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
2/28/2000
2/27/2004
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
2/28/2000
2/27/2004
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
2/5/2001
2/27/2004
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
2/5/2001
2/27/2004
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
8/17/2000
2/27/2004
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
8/17/2000
2/27/2004
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
6/12/2003
2/27/2004
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
11/6/1999
2/27/2004
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
11/6/1999
2/27/2004
Inactive
MML Bay State Life Insurance Company
301198
Agent - Health
6/12/2000
2/27/2004
Inactive
MML Bay State Life Insurance Company
301198
Agent - Life
6/12/2000
2/27/2004
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Life
8/17/2000
12/31/2001
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
6/12/2000
2/27/2004
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
6/12/2000
2/27/2004
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
12/4/2000
2/27/2004
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
12/4/2000
2/27/2004
Inactive
National Life Insurance Company
301852
Agent - Health
3/11/2003
2/27/2004
Inactive
National Life Insurance Company
301852
Agent - Life
3/11/2003
2/27/2004
Inactive
National Life Insurance Company
301852
Agent - Variable Life and Variable Annuities
3/11/2003
2/27/2004
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
4/10/2000
2/27/2004
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
4/10/2000
2/27/2004
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
10/10/2002
2/27/2004
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
11/4/2002
2/27/2004
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
4/5/2002
2/27/2004
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
8/1/2002
2/27/2004
Inactive
Pacific Life Insurance Company
301848
Agent - Life
12/20/1999
2/27/2004
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
8/1/2002
2/27/2004
Inactive
Principal Life Insurance Company
300129
Agent - Health
9/29/2000
2/27/2004
Inactive
Principal Life Insurance Company
300129
Agent - Life
9/29/2000
2/27/2004
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
2/25/2003
2/27/2004
Inactive
Pruco Life Insurance Company
300954
Agent - Health
9/19/2000
2/27/2004
Inactive
Pruco Life Insurance Company
300954
Agent - Life
9/19/2000
2/27/2004
Inactive
Prudential Insurance Company of America
300784
Agent - Health
9/19/2000
2/27/2004
Inactive
Prudential Insurance Company of America
300784
Agent - Life
9/19/2000
2/27/2004
Inactive
Security Benefit Life Insurance Company
300583
Agent - Health
2/7/2000
2/27/2004
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
2/7/2000
2/27/2004
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
6/28/2000
2/27/2004
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
6/28/2000
2/27/2004
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
6/28/2000
2/27/2004
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
6/28/2000
2/27/2004
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Bryan, William L
501782
Agent - Health
8/1/2002
2/27/2004
Inactive
Bryan, William L
501782
Agent - Life
8/1/2002
2/27/2004
Inactive
Bryan, William L
501782
Agent - Variable Life and Variable Annuities
8/1/2002
4/21/2005
Inactive
Dawahare, Brian Harding
345404
Agent - Health
8/1/2002
2/27/2004
Inactive
Dawahare, Brian Harding
345404
Agent - Life
8/1/2002
2/27/2004
Inactive
Dawahare, Brian Harding
345404
Agent - Variable Life and Variable Annuities
8/1/2002
2/27/2004
Inactive
Dortch, James E
329381
Agent - Health
10/29/1999
2/27/2004
Inactive
Dortch, James E
329381
Agent - Life
10/29/1999
2/27/2004
Inactive
Dortch, James E
329381
Agent - Variable Life and Variable Annuities
8/1/2002
2/27/2004
Inactive
Orr, Larry Allen
385562
Agent - Health
8/1/2002
2/27/2004
Inactive
Orr, Larry Allen
385562
Agent - Life
8/1/2002
2/27/2004
Inactive
Orr, Larry Allen
385562
Agent - Variable Life and Variable Annuities
8/1/2002
2/27/2004
Inactive
Pierce, Michael D
512731
Agent - Health
8/1/2002
2/27/2004
Inactive
Pierce, Michael D
512731
Agent - Life
8/1/2002
2/27/2004
Inactive
Pierce, Michael D
512731
Agent - Variable Life and Variable Annuities
8/1/2002
2/27/2004
Inactive
Smith, Thomas L
515926
Agent - Health
8/1/2002
2/27/2004
Inactive
Smith, Thomas L
515926
Agent - Life
8/1/2002
2/27/2004
Inactive
Watts, Earl L
501658
Agent - Health
8/1/2002
2/27/2004
Inactive
Watts, Earl L
501658
Agent - Life
8/1/2002
2/27/2004
Inactive
Watts, Earl L
501658
Agent - Variable Life and Variable Annuities
8/1/2002
2/27/2004
Inactive
Williams, Rickie Wayne
343687
Agent - Health
8/1/2002
2/27/2004
Inactive
Williams, Rickie Wayne
343687
Agent - Life
8/1/2002
2/27/2004
Inactive
Williams, Rickie Wayne
343687
Agent - Variable Life and Variable Annuities
8/1/2002
2/27/2004
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