DEPARTMENT OF INSURANCE
Affiliations
NameMontauk Insurance Services Inc.DOIID399021NAIC NPN758265
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife1/8/19931/26/2009 
InactiveNon ResidentAgentHealth1/8/19931/26/2009 
InactiveNon ResidentAgentVariable Life and Variable Annuities8/15/20011/26/2009 
* 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
InactiveDelaware Life Insurance Company301256Agent - Life2/8/20021/26/2009
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities2/8/20021/26/2009
InactiveEquitable Life Insurance Company of Iowa301633Agent - Life2/15/20021/1/2004
InactiveEquitable Life Insurance Company of Iowa301633Agent - Variable Life and Variable Annuities2/15/20021/1/2004
InactiveEverlake Life Insurance Company300873Agent - Life11/19/20031/26/2009
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities11/19/20031/26/2009
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life4/3/20031/26/2009
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life4/16/20041/26/2009
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities4/16/20041/26/2009
InactiveGlenbrook Life and Annuity Company301384Agent - Life11/19/20031/1/2005
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities11/19/20031/1/2005
DeniedJefferson Pilot Financial Insurance Company300756Agent - Health  
DeniedJefferson Pilot Financial Insurance Company300756Agent - Life  
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities9/18/20027/2/2007
DeniedJefferson-Pilot Life Insurance Company300379Agent - Health  
DeniedJefferson-Pilot Life Insurance Company300379Agent - Life  
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities8/19/20024/2/2007
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life2/27/20031/26/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities2/27/20031/26/2009
InactiveKeyport Life Insurance Company300319Agent - Life6/11/19978/23/2001
InactiveLincoln Benefit Life Company301110Agent - Health11/4/20081/26/2009
InactiveLincoln Benefit Life Company301110Agent - Life11/4/20081/26/2009
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities11/4/20081/26/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/2/20071/26/2009
InactiveNationwide Life Insurance Company300495Agent - Health2/25/20021/26/2009
InactiveNationwide Life Insurance Company300495Agent - Life2/25/20021/26/2009
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities2/25/20021/26/2009
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health2/28/20021/13/2009
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life2/28/20021/13/2009
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities2/28/20021/13/2009
InactiveProtective Life Insurance Company300638Agent - Health3/2/20041/26/2009
InactiveProtective Life Insurance Company300638Agent - Life3/2/20041/26/2009
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities3/2/20041/26/2009
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/20081/26/2009
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20081/26/2009
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health5/6/200210/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life5/6/200210/1/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/23/19968/23/2001
InactiveVenerable Insurance and Annuity Company301006Agent - Health1/27/20008/23/2001
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/1/20041/26/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities2/15/20021/26/2009
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities8/10/20019/25/2003
InactiveWestern National Life Insurance Company300461Agent - Life3/11/20033/20/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveJohns, James Demo 381640Agent - Health1/8/19938/23/2001
InactiveJohns, James Demo 381640Agent - Life1/8/19938/23/2001
InactiveLowe, Mark Douglas 525385Agent - Health4/29/20031/26/2009
InactiveLowe, Mark Douglas 525385Agent - Life4/29/20031/26/2009
InactiveLowe, Mark Douglas 525385Agent - Variable Life and Variable Annuities8/10/20011/26/2009

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