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DEPARTMENT OF INSURANCE
Affiliations
Name
National Planning Corporation
DOIID
399046
NAIC NPN
1914153
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
5/14/1999
7/9/2018
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
9/13/2001
7/9/2018
Inactive
Non Resident
Agent
Health
4/28/1999
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
Alexander Hamilton Life Insurance Co. of America
301779
Agent - Health
5/26/1999
8/1/2000
Inactive
Alexander Hamilton Life Insurance Co. of America
301779
Agent - Life
5/26/1999
8/1/2000
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
5/4/2001
5/31/2018
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
6/2/1999
5/31/2018
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
6/30/2003
5/31/2018
Inactive
American General Life Insurance Company
301585
Agent - Life
12/17/2012
7/9/2018
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
12/17/2012
7/9/2018
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
8/6/1999
9/20/2005
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
8/6/1999
9/20/2005
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Variable Life and Variable Annuities
1/14/2002
9/20/2005
Inactive
American United Life Insurance Company
300498
Agent - Health
9/17/2001
6/30/2018
Inactive
American United Life Insurance Company
300498
Agent - Life
9/17/2001
6/30/2018
Inactive
American United Life Insurance Company
300498
Agent - Variable Life and Variable Annuities
9/17/2001
6/30/2018
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
5/1/2007
5/29/2018
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
4/9/2007
5/29/2018
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Variable Life and Variable Annuities
4/9/2007
5/29/2018
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Health
5/20/1999
5/1/2007
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
5/20/1999
5/1/2007
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Variable Life and Variable Annuities
9/13/2001
5/1/2007
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Health
8/10/2001
2/29/2016
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Life
8/10/2001
7/9/2018
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Variable Life and Variable Annuities
9/13/2001
7/9/2018
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
5/19/2006
7/5/2013
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
5/19/2006
7/5/2013
Inactive
Augustar Life Insurance Company
301816
Agent - Life
8/15/2011
7/9/2018
Inactive
Augustar Life Insurance Company
301816
Agent - Variable Life and Variable Annuities
8/15/2011
7/9/2018
Inactive
Banner Life Insurance Company
301696
Agent - Life
1/12/2007
7/9/2018
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
5/1/2015
7/9/2018
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
5/1/2015
7/9/2018
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
7/9/2018
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
7/9/2018
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
7/9/2018
Inactive
C.M. Life Insurance Company
301335
Agent - Health
4/30/2001
8/19/2010
Inactive
C.M. Life Insurance Company
301335
Agent - Life
4/30/2001
8/19/2010
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
9/13/2001
8/19/2010
Inactive
Canada Life Insurance Company of America
301100
Agent - Life
5/26/1999
1/20/2005
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
10/20/1999
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
10/20/1999
4/1/2007
Inactive
Delaware Life Insurance Company
301256
Agent - Life
12/31/2003
7/9/2018
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
10/6/2011
7/9/2018
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Variable Life and Variable Annuities
10/6/2011
7/9/2018
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
9/13/2001
6/4/2018
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Health
6/1/1999
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Life
6/1/1999
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Variable Life and Variable Annuities
5/17/2001
1/1/2004
Inactive
Everlake Life Insurance Company
300873
Agent - Health
12/27/1999
12/2/2011
Inactive
Everlake Life Insurance Company
300873
Agent - Life
12/27/1999
12/2/2013
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
4/14/2008
12/2/2013
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
7/22/2008
6/22/2018
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Health
10/20/1999
10/29/2008
Inactive
Fidelity Life Association, A Legal Reserve Life Insurance Company
300774
Agent - Life
10/20/1999
10/29/2008
Inactive
First Colony Life Insurance Company
301179
Agent - Life
9/30/1999
7/14/2004
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
11/3/1999
12/16/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
11/3/1999
12/16/2008
Inactive
Forethought Life Insurance Company
301407
Agent - Health
3/6/2015
7/9/2018
Inactive
Forethought Life Insurance Company
301407
Agent - Life
3/6/2015
7/9/2018
Inactive
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
3/6/2015
7/9/2018
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
6/22/1999
7/9/2018
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
9/13/2001
7/9/2018
Inactive
General American Life Insurance Company
300280
Agent - Health
9/10/2003
11/14/2009
Inactive
General American Life Insurance Company
300280
Agent - Life
9/10/2003
11/14/2009
Inactive
General American Life Insurance Company
300280
Agent - Variable Life and Variable Annuities
4/19/2006
12/16/2009
Inactive
General Life Insurance Company
300652
Agent - Life
10/29/1999
12/3/2001
Inactive
Genworth Life Insurance Company
300623
Agent - Health
11/15/1999
7/9/2018
Inactive
Genworth Life Insurance Company
300623
Agent - Life
11/15/1999
7/9/2018
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
11/2/1999
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
11/2/1999
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
11/26/2001
12/7/2012
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Health
12/27/1999
1/1/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
12/27/1999
1/1/2005
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
4/23/2001
4/10/2015
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
9/13/2001
4/10/2015
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
5/1/2015
7/9/2018
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
5/1/2015
7/9/2018
Inactive
ING Insurance Company of America
301507
Agent - Life
4/11/2005
12/31/2005
Inactive
ING Insurance Company of America
301507
Agent - Variable Life and Variable Annuities
4/11/2005
12/31/2005
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
4/28/1999
12/12/2014
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
5/20/1999
6/19/2018
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
9/13/2001
6/19/2018
Inactive
Jefferson National Life Insurance Company
300258
Agent - Health
6/11/1999
6/8/2006
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
6/11/1999
6/8/2006
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
8/1/2000
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
8/1/2000
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
9/13/2001
7/2/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
3/15/2007
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
3/15/2007
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
5/20/1999
7/9/2018
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
5/20/1999
7/9/2018
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
6/21/1999
2/23/2009
Inactive
Keyport Life Insurance Company
300319
Agent - Life
5/19/1999
12/31/2003
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
12/4/2015
7/9/2018
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
12/4/2015
7/9/2018
Inactive
Liberty Life Insurance Company
301542
Agent - Health
1/10/2006
6/30/2006
Inactive
Liberty Life Insurance Company
301542
Agent - Life
1/10/2006
6/30/2006
Inactive
Life Insurance Company of the Southwest
301867
Agent - Health
12/21/2005
7/9/2018
Inactive
Life Insurance Company of the Southwest
301867
Agent - Life
12/21/2005
7/9/2018
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
5/16/2003
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
5/16/2003
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
5/16/2003
7/14/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
9/10/1999
6/6/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
9/10/1999
6/6/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
9/13/2001
6/6/2018
Inactive
MML Bay State Life Insurance Company
301198
Agent - Health
4/30/2001
8/3/2010
Inactive
MML Bay State Life Insurance Company
301198
Agent - Life
4/30/2001
8/3/2010
Inactive
MML Bay State Life Insurance Company
301198
Agent - Variable Life and Variable Annuities
9/13/2001
8/3/2010
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
4/19/2000
1/22/2002
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
12/3/2015
7/9/2018
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
4/30/2001
8/19/2010
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
4/30/2001
8/19/2010
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
9/13/2001
8/19/2010
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
6/1/2001
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
6/1/2001
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
9/13/2001
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
9/24/2004
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
9/24/2004
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
9/24/2004
11/14/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
12/19/2007
7/9/2018
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
12/19/2007
7/9/2018
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
12/19/2007
7/9/2018
Inactive
Nassau Life Insurance Company
301406
Agent - Health
10/7/1999
1/31/2013
Inactive
Nassau Life Insurance Company
301406
Agent - Life
10/7/1999
7/22/2011
Inactive
Nassau Life Insurance Company
301406
Agent - Variable Life and Variable Annuities
9/13/2001
7/22/2011
Inactive
National Life Insurance Company
301852
Agent - Health
9/8/2005
7/9/2018
Inactive
National Life Insurance Company
301852
Agent - Life
9/8/2005
7/9/2018
Inactive
National Life Insurance Company
301852
Agent - Variable Life and Variable Annuities
9/8/2005
7/9/2018
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
3/6/2007
5/30/2018
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
3/6/2007
5/30/2018
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
9/13/2001
5/30/2018
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Health
7/13/2004
12/31/2009
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Life
7/13/2004
12/31/2009
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Variable Life and Variable Annuities
7/13/2004
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Health
7/13/2004
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Life
12/31/2009
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Variable Life and Variable Annuities
7/13/2004
12/31/2009
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
3/6/2007
5/30/2018
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
3/6/2007
5/30/2018
Inactive
New England Life Insurance Company
300343
Agent - Health
1/12/2004
12/10/2009
Inactive
New England Life Insurance Company
300343
Agent - Life
1/12/2004
12/10/2009
Inactive
New England Life Insurance Company
300343
Agent - Variable Life and Variable Annuities
1/12/2004
12/10/2009
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
5/14/2001
6/1/2018
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
9/13/2001
6/1/2018
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
3/13/2007
6/11/2018
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
3/13/2007
6/11/2018
Inactive
North American Company for Life and Health Insurance
300291
Agent - Variable Life and Variable Annuities
3/13/2007
12/10/2007
Inactive
Northern Life Insurance Company
300301
Agent - Variable Life and Variable Annuities
4/30/2001
10/2/2002
Inactive
PHL Variable Insurance Company
300525
Agent - Health
10/7/1999
2/1/2013
Inactive
PHL Variable Insurance Company
300525
Agent - Life
10/7/1999
2/1/2013
Inactive
PHL Variable Insurance Company
300525
Agent - Variable Life and Variable Annuities
9/13/2001
2/1/2013
Inactive
Pacific Life Insurance Company
301848
Agent - Life
7/21/1999
5/31/2018
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
9/13/2001
5/31/2018
Inactive
Penn Insurance and Annuity Company
300712
Agent - Health
4/22/2004
7/9/2018
Inactive
Penn Insurance and Annuity Company
300712
Agent - Life
4/22/2004
7/9/2018
Inactive
Penn Insurance and Annuity Company
300712
Agent - Variable Life and Variable Annuities
4/22/2004
7/9/2018
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Health
4/22/2004
7/9/2018
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
4/22/2004
7/9/2018
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Variable Life and Variable Annuities
4/22/2004
7/9/2018
Inactive
Principal Life Insurance Company
300129
Agent - Health
6/25/1999
7/9/2018
Inactive
Principal Life Insurance Company
300129
Agent - Life
6/25/1999
7/9/2018
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
9/13/2001
7/9/2018
Inactive
Principal National Life Insurance Company
301926
Agent - Life
12/5/2013
7/9/2018
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/1/2007
12/13/2010
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
12/13/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Health
5/21/2004
7/9/2018
Inactive
Pruco Life Insurance Company
300954
Agent - Life
5/21/2004
7/9/2018
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
5/21/2004
7/9/2018
Inactive
Prudential Insurance Company of America
300784
Agent - Health
5/21/2004
7/9/2018
Inactive
Prudential Insurance Company of America
300784
Agent - Life
5/21/2004
7/9/2018
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
5/21/2004
7/9/2018
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
3/9/2000
9/20/2004
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
3/9/2000
9/20/2004
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
10/1/2003
3/9/2018
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
8/27/2001
3/9/2018
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
9/13/2001
3/9/2018
Inactive
RiverSource Life Insurance Company
301952
Agent - Life
3/27/2007
12/30/2008
Inactive
RiverSource Life Insurance Company
301952
Agent - Variable Life and Variable Annuities
3/27/2007
12/30/2008
Inactive
Security Benefit Life Insurance Company
300583
Agent - Health
6/11/1999
7/9/2018
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
6/11/1999
7/9/2018
Inactive
Security Benefit Life Insurance Company
300583
Agent - Variable Life and Variable Annuities
9/13/2001
7/9/2018
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
5/17/1999
7/9/2018
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
5/17/1999
4/13/2017
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
9/13/2001
4/13/2017
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
10/20/1999
10/1/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
10/20/1999
10/1/2003
Inactive
Southland Life Insurance Company
301175
Agent - Health
6/2/1999
9/15/2004
Inactive
Southland Life Insurance Company
301175
Agent - Life
6/2/1999
9/15/2004
Inactive
Standard Insurance Company
300185
Agent - Health
8/11/2006
7/9/2018
Inactive
Standard Insurance Company
300185
Agent - Life
8/11/2006
7/9/2018
Inactive
State Life Insurance Company
301497
Agent - Health
6/15/2010
7/2/2018
Inactive
State Life Insurance Company
301497
Agent - Life
6/15/2010
7/2/2018
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
3/28/2000
12/31/2012
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
1/31/2008
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
Symetra Life Insurance Company
301691
Agent - Health
5/14/1999
6/7/2018
Inactive
Symetra Life Insurance Company
301691
Agent - Life
5/14/1999
6/7/2018
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
2/21/2000
7/9/2018
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
2/21/2000
7/9/2018
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
9/13/2001
7/9/2018
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
11/1/2000
7/9/2018
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
11/1/2000
7/9/2018
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
9/13/2001
7/9/2018
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
12/9/1999
7/9/2018
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
12/9/1999
7/9/2018
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
4/5/2005
7/9/2018
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
7/11/2007
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
7/11/2007
10/1/2008
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Health
1/17/2005
7/9/2018
Inactive
United States Life Insurance Company in the City of New York
301126
Agent - Life
1/17/2005
7/9/2018
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
5/7/2001
1/24/2014
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
5/7/2001
1/24/2014
Inactive
United of Omaha Life Insurance Company
300156
Agent - Variable Life and Variable Annuities
9/13/2001
1/24/2014
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
9/27/2016
2/6/2018
Inactive
UnitedHealthcare Insurance Company of America
301552
Agent - Health
9/27/2016
2/6/2018
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
9/27/2016
2/6/2018
Inactive
Variable Annuity Life Insurance Company
301341
Agent - Life
5/25/2011
7/9/2018
Inactive
Variable Annuity Life Insurance Company
301341
Agent - Variable Life and Variable Annuities
5/25/2011
7/9/2018
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
6/1/1999
7/9/2018
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
6/1/1999
5/18/2018
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
9/13/2001
5/18/2018
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
4/23/2001
7/9/2018
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
4/23/2001
8/6/2016
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
9/13/2001
8/6/2016
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Health
2/15/2002
12/20/2004
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
2/15/2002
12/20/2004
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
2/15/2002
12/20/2004
Inactive
Western-Southern Life Assurance Company
301590
Agent - Variable Life and Variable Annuities
9/13/2001
7/9/2018
Inactive
Zurich American Life Insurance Company
300216
Agent - Variable Life and Variable Annuities
9/13/2001
7/13/2011
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Barr, Gary Lee
586678
Agent - Variable Life and Variable Annuities
3/17/2015
7/9/2018
Inactive
Bowman, William L.
519962
Agent - Health
2/14/2005
6/29/2005
Inactive
Bowman, William L.
519962
Agent - Life
2/14/2005
1/31/2006
Inactive
Butt, Ronald Dean
378498
Agent - Health
2/14/2005
7/6/2017
Inactive
Butt, Ronald Dean
378498
Agent - Life
2/14/2005
7/6/2017
Inactive
Butt, Ronald Dean
378498
Agent - Variable Life and Variable Annuities
6/16/2015
7/6/2017
Inactive
DeTray, Deborah Jean
515079
Agent - Health
2/14/2005
3/31/2014
Inactive
DeTray, Deborah Jean
515079
Agent - Life
2/14/2005
3/31/2014
Inactive
DeTray, Deborah Jean
515079
Agent - Variable Life and Variable Annuities
2/14/2005
3/31/2014
Inactive
Dreffein, Mary Shawn
366367
Agent - Health
4/28/1999
2/29/2008
Inactive
Dreffein, Mary Shawn
366367
Agent - Life
4/28/1999
2/29/2008
Inactive
Dreffein, Mary Shawn
366367
Agent - Variable Life and Variable Annuities
5/31/2001
2/29/2008
Inactive
Johnson, John Charles
960594
Agent - Life
9/22/2017
7/9/2018
Inactive
Johnson, John Charles
960594
Agent - Variable Life and Variable Annuities
9/22/2017
7/9/2018
Denied
Jump, Natalie
836509
Agent - Life
Denied
Jump, Natalie
836509
Agent - Variable Life and Variable Annuities
Inactive
Marrazzo, David W
328765
Agent - Health
2/14/2005
5/31/2005
Inactive
Marrazzo, David W
328765
Agent - Life
2/14/2005
5/31/2005
Inactive
Mason, Louise Orazio
544983
Agent - Health
2/14/2005
12/14/2005
Inactive
Mason, Louise Orazio
544983
Agent - Life
2/14/2005
12/14/2005
Inactive
Mason, Louise Orazio
544983
Agent - Variable Life and Variable Annuities
2/14/2005
12/14/2005
Denied
Pajak, Gregg
890469
Agent - Health
Inactive
Pajak, Gregg
890469
Agent - Life
7/1/2016
7/9/2018
Inactive
Pajak, Gregg
890469
Agent - Variable Life and Variable Annuities
7/1/2016
7/9/2018
Denied
Parker, William J
366691
Agent - Health
Inactive
Parker, William J
366691
Agent - Life
2/14/2005
6/30/2008
Inactive
Perazzini, August John
306773
Agent - Health
2/10/2006
7/9/2018
Inactive
Perazzini, August John
306773
Agent - Life
2/10/2006
7/9/2018
Denied
Perazzini, August John
306773
Agent - Variable Life and Variable Annuities
Denied
Pfadt, William L
883757
Agent - Life
Denied
Pfadt, William L
883757
Agent - Variable Life and Variable Annuities
Inactive
Reeves, Patrick Joseph
344022
Agent - Health
2/14/2005
10/1/2012
Inactive
Reeves, Patrick Joseph
344022
Agent - Life
2/14/2005
10/1/2012
Inactive
Reeves, Patrick Joseph
344022
Agent - Variable Life and Variable Annuities
2/14/2005
10/1/2012
Denied
Schab, Michael John
745839
Agent - Health
Inactive
Schab, Michael John
745839
Agent - Life
2/4/2011
9/22/2017
Inactive
Schab, Michael John
745839
Agent - Variable Life and Variable Annuities
2/4/2011
9/22/2017
Inactive
Schweder, Brian P
563055
Agent - Variable Life and Variable Annuities
2/14/2005
4/30/2009
Inactive
Souders, Daniel E
371121
Agent - Health
2/14/2005
12/31/2008
Inactive
Souders, Daniel E
371121
Agent - Life
2/14/2005
12/31/2008
Inactive
Souders, Daniel E
371121
Agent - Variable Life and Variable Annuities
2/14/2005
12/31/2008
Denied
Thurman, Michael J
592923
Agent - Health
Inactive
Thurman, Michael J
592923
Agent - Life
2/14/2005
4/30/2005
Inactive
Thurman, Michael J
592923
Agent - Variable Life and Variable Annuities
2/14/2005
4/30/2005
Inactive
Tichenor, Joe Horace
533590
Agent - Health
2/14/2005
7/1/2006
Inactive
Tichenor, Joe Horace
533590
Agent - Life
2/14/2005
7/1/2006
Inactive
Tichenor, Joe Horace
533590
Agent - Variable Life and Variable Annuities
2/14/2005
7/1/2006
Inactive
Werner, Bradley William
592274
Agent - Variable Life and Variable Annuities
2/14/2005
10/31/2008
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