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DEPARTMENT OF INSURANCE
Affiliations
Name
First Dakota Inc.
DOIID
398730
NAIC NPN
654655
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
12/30/1997
7/9/2018
Inactive
Non Resident
Agent
Health
12/30/1997
7/9/2018
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
3/14/2001
7/9/2018
* 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
4/12/2006
7/9/2018
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
4/12/2006
7/9/2018
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
4/12/2006
7/9/2018
Inactive
American General Life Insurance Company
301585
Agent - Life
12/31/2012
7/9/2018
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
12/31/2012
7/9/2018
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
10/27/2000
9/19/2005
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
10/27/2000
9/19/2005
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Variable Life and Variable Annuities
3/30/2001
9/19/2005
Inactive
American National Insurance Company
301861
Agent - Health
12/14/2001
7/9/2018
Inactive
American National Insurance Company
301861
Agent - Life
12/14/2001
7/9/2018
Inactive
Banner Life Insurance Company
301696
Agent - Life
11/13/2014
7/9/2018
Inactive
Bestow Life Insurance Company
300577
Agent - Health
7/10/2007
3/28/2011
Inactive
Bestow Life Insurance Company
300577
Agent - Life
7/10/2007
3/28/2011
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
12/5/2017
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
12/5/2017
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
12/5/2017
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
3/17/2014
5/4/2015
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
3/6/2018
5/31/2018
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/31/2003
7/9/2018
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/17/2014
5/4/2015
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
7/11/2013
2/21/2018
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Variable Life and Variable Annuities
7/11/2013
2/21/2018
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
6/19/2008
7/28/2011
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
4/10/2001
6/4/2018
Inactive
Forethought Life Insurance Company
301407
Agent - Health
12/29/2014
7/9/2018
Inactive
Forethought Life Insurance Company
301407
Agent - Life
12/29/2014
7/9/2018
Inactive
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
12/29/2014
7/9/2018
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
11/20/1999
7/9/2018
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
5/18/2001
7/9/2018
Inactive
General American Life Insurance Company
300280
Agent - Health
9/4/2003
11/19/2009
Inactive
General American Life Insurance Company
300280
Agent - Life
9/4/2003
11/19/2009
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
3/17/2014
5/4/2015
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/17/2014
5/4/2015
Inactive
Humana Insurance Company
301104
Agent - Health
3/17/2014
5/4/2015
Inactive
Humana Insurance Company
301104
Agent - Life
3/17/2014
5/4/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
3/17/2014
5/4/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
3/17/2014
5/4/2015
Inactive
HumanaDental Insurance Company
301457
Agent - Health
2/17/2012
12/19/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
2/17/2012
12/19/2012
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
5/30/2002
6/19/2018
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
5/30/2002
6/19/2018
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
5/1/2007
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
5/1/2007
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/19/2008
7/9/2018
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
1/22/2002
7/9/2018
Inactive
Kanawha Insurance Company
300127
Agent - Health
3/17/2014
5/4/2015
Inactive
Kanawha Insurance Company
300127
Agent - Life
3/17/2014
5/4/2015
Inactive
Keyport Life Insurance Company
300319
Agent - Life
11/30/1999
12/31/2003
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
12/4/1999
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
12/4/1999
7/14/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
12/16/2009
7/9/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
12/16/2009
7/9/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
12/16/2009
7/9/2018
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
8/28/2000
1/22/2002
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
9/24/2014
7/9/2018
Inactive
MedAmerica Insurance Company
301568
Agent - Health
1/24/2003
3/2/2016
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
4/26/2010
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
4/26/2010
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
4/26/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
4/26/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
4/26/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
4/26/2010
11/14/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
4/26/2010
12/5/2017
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
4/26/2010
12/5/2017
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
4/26/2010
12/5/2017
Inactive
Midland National Life Insurance Company
300923
Agent - Life
4/25/2014
6/11/2018
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
9/19/2003
5/31/2018
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
9/19/2003
5/31/2018
Inactive
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
1/26/2005
5/31/2018
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
12/30/1997
5/30/2018
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
12/30/1997
5/30/2018
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
4/19/2001
5/30/2018
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
2/27/2014
5/30/2018
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
2/27/2014
5/30/2018
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
2/27/2014
5/30/2018
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
2/27/2014
6/1/2018
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
2/27/2014
6/1/2018
Inactive
Pacific Life Insurance Company
301848
Agent - Life
12/20/1999
5/31/2018
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
4/30/2001
5/31/2018
Inactive
Principal Life Insurance Company
300129
Agent - Health
11/10/2005
11/20/2009
Inactive
Principal Life Insurance Company
300129
Agent - Life
11/10/2005
11/20/2009
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
11/10/2005
3/23/2011
Inactive
Pruco Life Insurance Company
300954
Agent - Health
2/9/2010
7/9/2018
Inactive
Pruco Life Insurance Company
300954
Agent - Life
2/9/2010
7/9/2018
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
2/9/2010
7/9/2018
Inactive
Prudential Insurance Company of America
300784
Agent - Health
3/25/2009
7/9/2018
Inactive
Prudential Insurance Company of America
300784
Agent - Life
3/25/2009
7/9/2018
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
3/25/2009
7/9/2018
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
1/2/2002
9/28/2005
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
1/2/2002
9/28/2005
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Life
4/9/2014
7/9/2018
Inactive
RiverSource Life Insurance Company
301952
Agent - Life
1/16/2009
7/9/2018
Inactive
RiverSource Life Insurance Company
301952
Agent - Variable Life and Variable Annuities
1/16/2009
7/9/2018
Inactive
State Life Insurance Company
301497
Agent - Health
8/19/2008
7/2/2018
Inactive
State Life Insurance Company
301497
Agent - Life
8/19/2008
7/2/2018
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
11/28/2008
12/31/2012
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
11/28/2008
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
12/31/2012
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Variable Life and Variable Annuities
12/31/2012
12/31/2012
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
11/20/1999
7/9/2018
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
11/20/1999
7/9/2018
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
3/14/2001
7/9/2018
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
10/16/2000
7/9/2018
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
10/16/2000
7/9/2018
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
11/13/2001
7/9/2018
Inactive
Time Insurance Company
300683
Agent - Health
8/1/2008
12/20/2014
Inactive
Time Insurance Company
300683
Agent - Life
8/1/2008
12/20/2014
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
4/2/2009
7/9/2018
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
4/2/2009
7/9/2018
Denied
Transamerica Life Insurance and Annuity Company
300148
Agent - Health
Denied
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
Denied
Transamerica Occidental Life Insurance Company
300966
Agent - Health
Denied
Transamerica Occidental Life Insurance Company
300966
Agent - Life
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
5/9/2001
5/13/2005
Inactive
Union Security Insurance Company
301844
Agent - Life
7/31/2000
10/22/2015
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
12/9/1999
7/9/2018
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
12/9/1999
7/9/2018
Inactive
Western National Life Insurance Company
300461
Agent - Life
9/28/2006
12/31/2012
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Cox, Kerry Alan
655845
Agent - Health
Inactive
Cox, Kerry Alan
655845
Agent - Life
10/12/2007
7/9/2018
Inactive
Cox, Kerry Alan
655845
Agent - Variable Life and Variable Annuities
10/12/2007
7/9/2018
Inactive
Gunderson, Gregory Craig
510431
Agent - Health
7/15/2002
12/19/2016
Inactive
Gunderson, Gregory Craig
510431
Agent - Life
6/10/2003
12/19/2016
Inactive
Gunderson, Gregory Craig
510431
Agent - Variable Life and Variable Annuities
6/10/2003
12/19/2016
Inactive
Gunderson, Thomas Evan
324328
Agent - Health
12/30/1997
3/3/2003
Inactive
Gunderson, Thomas Evan
324328
Agent - Life
12/30/1997
3/3/2003
Inactive
Huck, Michael R
584670
Agent - Life
2/20/2004
6/30/2004
Inactive
Komoszewski, James A
916431
Agent - Health
12/19/2016
7/9/2018
Inactive
Komoszewski, James A
916431
Agent - Life
12/19/2016
7/9/2018
Inactive
Komoszewski, James A
916431
Agent - Variable Life and Variable Annuities
1/25/2017
3/14/2018
Inactive
Pickle, Robert Cecil
557548
Agent - Health
11/1/2002
2/20/2004
Inactive
Pickle, Robert Cecil
557548
Agent - Life
11/1/2002
2/20/2004
Inactive
Pickle, Robert Cecil
557548
Agent - Variable Life and Variable Annuities
11/1/2002
2/20/2004
Inactive
Yockey, Jim Alan
318307
Agent - Life
11/14/2013
7/9/2018
Inactive
Yockey, Jim Alan
318307
Agent - Variable Life and Variable Annuities
11/14/2013
7/9/2018
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