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DEPARTMENT OF INSURANCE
Affiliations
Name
Mony Brokerage Inc.
DOIID
399020
NAIC NPN
663368
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
1/9/2002
3/1/2006
Inactive
Non Resident
Agent
Health
9/9/1996
3/1/2006
Inactive
Non Resident
Agent
Life
9/9/1996
3/1/2006
* 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
American Heritage Life Insurance Company
300272
Agent - Health
10/11/2002
3/1/2006
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
10/11/2002
3/1/2006
Inactive
American United Life Insurance Company
300498
Agent - Health
1/3/2001
11/21/2005
Inactive
American United Life Insurance Company
300498
Agent - Life
1/3/2001
11/21/2005
Inactive
Assurity Life Insurance Company
301099
Agent - Health
8/12/2002
6/7/2005
Inactive
Assurity Life Insurance Company
301099
Agent - Life
8/12/2002
6/7/2005
Inactive
Berkshire Life Insurance Company
301158
Agent - Health
10/25/1999
7/1/2001
Inactive
Berkshire Life Insurance Company
301158
Agent - Life
10/25/1999
7/1/2001
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
3/12/1999
4/15/2005
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
3/12/1999
4/15/2005
Inactive
C.M. Life Insurance Company
301335
Agent - Health
2/4/2000
3/1/2006
Inactive
C.M. Life Insurance Company
301335
Agent - Life
2/4/2000
3/1/2006
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
2/27/2004
3/1/2006
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
2/27/2004
3/1/2006
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Health
1/9/2002
3/1/2006
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
1/9/2002
3/1/2006
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
1/9/2002
3/1/2006
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
12/9/1999
3/1/2006
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
12/9/1999
3/1/2006
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
1/22/2002
3/1/2006
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
1/22/2002
3/1/2006
Inactive
Genworth Life Insurance Company
300623
Agent - Health
12/10/1999
3/1/2006
Inactive
Genworth Life Insurance Company
300623
Agent - Life
12/10/1999
3/1/2006
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
2/3/2000
12/9/2004
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
7/1/2001
4/2/2003
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
7/1/2001
4/2/2003
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
12/13/1999
3/1/2006
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
12/13/1999
3/1/2006
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/29/2002
8/30/2005
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/29/2002
8/30/2005
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
7/29/2002
8/30/2005
Inactive
MONY Life Insurance Company
301141
Agent - Health
9/9/1996
3/1/2006
Inactive
MONY Life Insurance Company
301141
Agent - Life
9/9/1996
3/1/2006
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Health
3/12/1999
4/15/2005
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
3/12/1999
4/15/2005
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
12/27/1999
3/12/2002
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
12/27/1999
3/12/2002
Inactive
Nassau Life Insurance Company
301406
Agent - Life
3/24/2003
12/13/2005
Inactive
Nassau Life Insurance Company
301406
Agent - Variable Life and Variable Annuities
3/24/2003
12/13/2005
Inactive
PHL Variable Insurance Company
300525
Agent - Life
3/24/2003
12/13/2005
Inactive
PHL Variable Insurance Company
300525
Agent - Variable Life and Variable Annuities
3/24/2003
12/13/2005
Inactive
Principal Life Insurance Company
300129
Agent - Health
10/7/2002
3/1/2006
Inactive
Principal Life Insurance Company
300129
Agent - Life
10/7/2002
3/1/2006
Inactive
Professional Insurance Company
301281
Agent - Health
11/8/2002
3/1/2006
Inactive
Professional Insurance Company
301281
Agent - Life
11/8/2002
3/1/2006
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
11/2/1999
3/1/2006
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
11/2/1999
3/1/2006
Inactive
Pruco Life Insurance Company
300954
Agent - Health
5/8/2003
3/1/2006
Inactive
Pruco Life Insurance Company
300954
Agent - Life
5/8/2003
3/1/2006
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
3/12/2002
4/28/2003
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
3/12/2002
4/28/2003
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
10/1/2004
3/1/2006
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
10/1/2004
3/1/2006
Inactive
Southland Life Insurance Company
301175
Agent - Health
2/9/2000
10/1/2004
Inactive
Southland Life Insurance Company
301175
Agent - Life
2/9/2000
10/1/2004
Inactive
Standard Insurance Company
300185
Agent - Health
7/21/2003
3/1/2006
Inactive
Standard Insurance Company
300185
Agent - Life
7/21/2003
3/1/2006
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
8/12/2004
3/1/2006
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
8/12/2004
3/1/2006
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
8/12/2004
3/1/2006
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
8/12/2004
3/1/2006
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
10/1/2005
3/1/2006
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
10/1/2005
3/1/2006
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
1/9/1998
10/1/2005
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Variable Life and Variable Annuities
9/3/2003
10/1/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
1/9/1998
3/1/2006
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
1/9/1998
3/1/2006
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
9/3/2003
3/1/2006
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
1/30/1999
3/1/2006
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
1/30/1999
3/1/2006
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
11/15/1999
3/1/2006
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
11/15/1999
3/1/2006
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Beitzel, Carla K
371041
Agent - Health
9/9/1996
12/31/2005
Inactive
Beitzel, Carla K
371041
Agent - Life
9/9/1996
12/31/2005
Inactive
Beitzel, Carla K
371041
Agent - Variable Life and Variable Annuities
1/9/2002
12/31/2005
Inactive
Henry, Douglas Brown
550231
Agent - Health
1/20/2004
8/31/2005
Inactive
Henry, Douglas Brown
550231
Agent - Life
1/20/2004
8/31/2005
Inactive
Henry, Douglas Brown
550231
Agent - Variable Life and Variable Annuities
1/20/2004
8/31/2005
Inactive
Lightcap, Paul Samuel
383935
Agent - Health
9/9/1996
7/6/1998
Inactive
Lightcap, Paul Samuel
383935
Agent - Life
9/9/1996
7/6/1998
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