DEPARTMENT OF INSURANCE
Affiliations
NameAllmerica Investment Ins Agency Inc of KentuckyDOIID398680NAIC NPN7221100
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentVariable Life and Variable Annuities8/1/20022/27/2004 
InactiveResidentAgentHealth10/29/19992/27/2004 
InactiveResidentAgentLife10/29/19992/27/2004 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAugustar Life Insurance Company301816Agent - Health2/14/20002/27/2004
InactiveAugustar Life Insurance Company301816Agent - Life2/14/20002/27/2004
InactiveC.M. Life Insurance Company301335Agent - Health6/12/20002/27/2004
InactiveC.M. Life Insurance Company301335Agent - Life6/12/20002/27/2004
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health10/29/19992/27/2004
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life10/29/19992/27/2004
InactiveEverlake Life Insurance Company300873Agent - Life1/29/20012/27/2004
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life12/16/19992/27/2004
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities1/13/20032/27/2004
InactiveGlenbrook Life and Annuity Company301384Agent - Life11/14/20032/27/2004
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities11/14/20032/27/2004
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life1/28/20022/27/2004
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities8/1/20022/27/2004
InactiveJackson National Life Insurance Company300486Agent - Life1/10/20002/27/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health2/28/20002/27/2004
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life2/28/20002/27/2004
InactiveJohn Hancock Life Insurance Company300821Agent - Health2/5/20012/27/2004
InactiveJohn Hancock Life Insurance Company300821Agent - Life2/5/20012/27/2004
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health8/17/20002/27/2004
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life8/17/20002/27/2004
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life6/12/20032/27/2004
InactiveLincoln National Life Insurance Company (The)301382Agent - Health11/6/19992/27/2004
InactiveLincoln National Life Insurance Company (The)301382Agent - Life11/6/19992/27/2004
InactiveMML Bay State Life Insurance Company301198Agent - Health6/12/20002/27/2004
InactiveMML Bay State Life Insurance Company301198Agent - Life6/12/20002/27/2004
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life8/17/200012/31/2001
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health6/12/20002/27/2004
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life6/12/20002/27/2004
InactiveMetropolitan Life Insurance Company301948Agent - Health12/4/20002/27/2004
InactiveMetropolitan Life Insurance Company301948Agent - Life12/4/20002/27/2004
InactiveNational Life Insurance Company301852Agent - Health3/11/20032/27/2004
InactiveNational Life Insurance Company301852Agent - Life3/11/20032/27/2004
InactiveNational Life Insurance Company301852Agent - Variable Life and Variable Annuities3/11/20032/27/2004
InactiveNationwide Life Insurance Company300495Agent - Health4/10/20002/27/2004
InactiveNationwide Life Insurance Company300495Agent - Life4/10/20002/27/2004
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities10/10/20022/27/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities11/4/20022/27/2004
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life4/5/20022/27/2004
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities8/1/20022/27/2004
InactivePacific Life Insurance Company301848Agent - Life12/20/19992/27/2004
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/1/20022/27/2004
InactivePrincipal Life Insurance Company300129Agent - Health9/29/20002/27/2004
InactivePrincipal Life Insurance Company300129Agent - Life9/29/20002/27/2004
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities2/25/20032/27/2004
InactivePruco Life Insurance Company300954Agent - Health9/19/20002/27/2004
InactivePruco Life Insurance Company300954Agent - Life9/19/20002/27/2004
InactivePrudential Insurance Company of America300784Agent - Health9/19/20002/27/2004
InactivePrudential Insurance Company of America300784Agent - Life9/19/20002/27/2004
InactiveSecurity Benefit Life Insurance Company300583Agent - Health2/7/20002/27/2004
InactiveSecurity Benefit Life Insurance Company300583Agent - Life2/7/20002/27/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Health6/28/20002/27/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Life6/28/20002/27/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health6/28/20002/27/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life6/28/20002/27/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBryan, William L 501782Agent - Health8/1/20022/27/2004
InactiveBryan, William L 501782Agent - Life8/1/20022/27/2004
InactiveBryan, William L 501782Agent - Variable Life and Variable Annuities8/1/20024/21/2005
InactiveDawahare, Brian Harding 345404Agent - Health8/1/20022/27/2004
InactiveDawahare, Brian Harding 345404Agent - Life8/1/20022/27/2004
InactiveDawahare, Brian Harding 345404Agent - Variable Life and Variable Annuities8/1/20022/27/2004
InactiveDortch, James E 329381Agent - Health10/29/19992/27/2004
InactiveDortch, James E 329381Agent - Life10/29/19992/27/2004
InactiveDortch, James E 329381Agent - Variable Life and Variable Annuities8/1/20022/27/2004
InactiveOrr, Larry Allen 385562Agent - Health8/1/20022/27/2004
InactiveOrr, Larry Allen 385562Agent - Life8/1/20022/27/2004
InactiveOrr, Larry Allen 385562Agent - Variable Life and Variable Annuities8/1/20022/27/2004
InactivePierce, Michael D 512731Agent - Health8/1/20022/27/2004
InactivePierce, Michael D 512731Agent - Life8/1/20022/27/2004
InactivePierce, Michael D 512731Agent - Variable Life and Variable Annuities8/1/20022/27/2004
InactiveSmith, Thomas L 515926Agent - Health8/1/20022/27/2004
InactiveSmith, Thomas L 515926Agent - Life8/1/20022/27/2004
InactiveWatts, Earl L 501658Agent - Health8/1/20022/27/2004
InactiveWatts, Earl L 501658Agent - Life8/1/20022/27/2004
InactiveWatts, Earl L 501658Agent - Variable Life and Variable Annuities8/1/20022/27/2004
InactiveWilliams, Rickie Wayne 343687Agent - Health8/1/20022/27/2004
InactiveWilliams, Rickie Wayne 343687Agent - Life8/1/20022/27/2004
InactiveWilliams, Rickie Wayne 343687Agent - Variable Life and Variable Annuities8/1/20022/27/2004

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