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DEPARTMENT OF INSURANCE
Affiliations
Name
Mutual Of Omaha Marketing Corporation
DOIID
399970
NAIC NPN
655002
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
4/18/1989
3/31/2027
Active
Non Resident
Agent
Variable Life and Variable Annuities
5/17/2013
3/31/2027
Active
Non Resident
Agent
Property
6/14/2022
3/31/2027
Active
Non Resident
Agent
Health
4/18/1989
3/31/2027
Active
Non Resident
Agent
Casualty
6/14/2022
3/31/2027
* 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.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2025
03/31/2025
01/16/2025
01/16/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Aetna Health Inc. (PA)
660717
Agent - Health
7/30/2024
Active
Aetna Health of Ohio Inc.
1065035
Agent - Health
7/30/2024
Active
Aetna Life Insurance Company
301140
Agent - Health
7/30/2024
Active
Allianz Life Insurance Company of North America
301791
Agent - Health
3/10/2010
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
3/10/2010
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
11/21/2017
Inactive
American Fidelity Assurance Company
301004
Agent - Health
4/21/2003
6/1/2005
Inactive
American Fidelity Assurance Company
301004
Agent - Life
4/21/2003
6/1/2005
Active
American General Life Insurance Company
301585
Agent - Life
12/13/2012
Active
American National Insurance Company
301861
Agent - Life
2/1/2024
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
5/28/2002
6/29/2021
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
5/28/2002
10/16/2012
Inactive
Anthem Life Insurance Company
301209
Agent - Health
5/28/2002
6/29/2021
Inactive
Anthem Life Insurance Company
301209
Agent - Life
5/28/2002
6/29/2021
Inactive
Assurity Life Insurance Company
301099
Agent - Health
8/29/2024
12/9/2024
Inactive
Assurity Life Insurance Company
301099
Agent - Life
8/29/2024
12/9/2024
Active
Banner Life Insurance Company
301696
Agent - Life
3/12/2025
Active
Brighthouse Life Insurance Company
301829
Agent - Life
9/17/2003
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
10/15/2013
Inactive
C.M. Life Insurance Company
301335
Agent - Health
6/29/2005
11/16/2012
Inactive
C.M. Life Insurance Company
301335
Agent - Life
6/29/2005
11/16/2012
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
6/29/2005
1/4/2010
Active
CMFG Life Insurance Company
300929
Agent - Health
11/9/2023
Active
CMFG Life Insurance Company
300929
Agent - Life
11/9/2023
Active
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
11/9/2023
Inactive
Care Improvement Plus South Central Insurance Company
799697
Agent - Health
8/28/2023
9/13/2024
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
10/27/1999
11/2/2000
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
10/27/1999
11/2/2000
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
10/6/2009
12/21/2018
Active
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
2/1/2017
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
6/1/2022
4/5/2023
Active
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
6/1/2022
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Casualty
2/9/2009
5/1/2022
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Property
2/9/2009
5/1/2022
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
10/15/2014
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
10/15/2014
Active
Gerber Life Insurance Company
300529
Agent - Health
5/9/2024
Active
Gerber Life Insurance Company
300529
Agent - Life
5/9/2024
Inactive
Golden Rule Insurance Company
301943
Agent - Health
1/8/2008
3/6/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Life
1/8/2008
3/6/2012
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
10/18/2004
11/15/2010
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
10/18/2004
11/15/2010
Active
Integrity Life Insurance Company
301687
Agent - Life
4/15/2025
Active
Jackson National Life Insurance Company
300486
Agent - Life
11/28/2008
Active
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
12/12/2014
Inactive
John Alden Life Insurance Company
300573
Agent - Health
7/7/2008
7/16/2013
Inactive
John Alden Life Insurance Company
300573
Agent - Life
7/7/2008
7/16/2013
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
1/28/2024
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
1/28/2024
Inactive
LM General Insurance Company
300133
Agent - Casualty
11/10/2010
5/1/2022
Inactive
LM General Insurance Company
300133
Agent - Property
11/10/2010
5/1/2022
Inactive
LM Insurance Corporation
301061
Agent - Casualty
11/10/2010
5/1/2022
Inactive
LM Insurance Corporation
301061
Agent - Property
11/10/2010
5/1/2022
Inactive
Liberty Insurance Corporation
300444
Agent - Casualty
2/9/2009
5/1/2022
Inactive
Liberty Insurance Corporation
300444
Agent - Property
2/9/2009
5/1/2022
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Casualty
2/9/2009
5/1/2022
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Property
2/9/2009
5/1/2022
Inactive
Liberty Mutual Insurance Company
301159
Agent - Casualty
2/9/2009
5/1/2022
Inactive
Liberty Mutual Insurance Company
301159
Agent - Property
2/9/2009
5/1/2022
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
12/9/2009
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
12/9/2009
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
12/9/2009
1/4/2010
Inactive
Lumico Life Insurance Company
300354
Agent - Life
3/5/2020
10/31/2024
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
6/29/2005
11/16/2012
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
6/29/2005
11/16/2012
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
6/29/2005
1/4/2010
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
4/22/2013
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
10/15/2013
11/14/2014
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
9/17/2003
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Variable Life and Variable Annuities
9/17/2003
12/7/2007
Active
Metropolitan Life Insurance Company
301948
Agent - Life
4/22/2013
Active
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
10/15/2013
Inactive
Midland National Life Insurance Company
300923
Agent - Health
7/12/2013
4/3/2021
Active
Midland National Life Insurance Company
300923
Agent - Life
7/12/2013
Active
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
7/12/2013
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
3/9/1994
1/4/2022
Inactive
Omaha Insurance Company
751908
Agent - Health
4/20/2012
1/24/2014
Active
Pacific Life Insurance Company
301848
Agent - Health
6/20/2024
Active
Pacific Life Insurance Company
301848
Agent - Life
9/12/2003
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
6/20/2024
Active
Pruco Life Insurance Company
300954
Agent - Life
10/4/2013
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
10/4/2013
Inactive
Securian Life Insurance Company
300757
Agent - Health
9/15/2005
2/2/2009
Inactive
Securian Life Insurance Company
300757
Agent - Life
9/15/2005
2/2/2009
Active
SilverScript Insurance Company
663526
Agent - Health
7/30/2024
Inactive
Time Insurance Company
300683
Agent - Health
12/14/2012
11/15/2019
Inactive
Time Insurance Company
300683
Agent - Life
12/14/2012
11/15/2019
Active
Transamerica Life Insurance Company
300571
Agent - Life
3/29/2005
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
5/22/2013
Inactive
Trustmark Insurance Company
300317
Agent - Health
12/28/1999
5/19/2003
Inactive
Trustmark Insurance Company
300317
Agent - Life
12/28/1999
5/19/2003
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
4/18/1989
1/4/2022
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
4/18/1989
1/4/2022
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
9/16/2024
12/17/2024
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
11/6/2002
12/17/2024
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
9/16/2024
12/17/2024
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
8/28/2023
9/13/2024
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
5/11/2007
5/18/2018
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
5/11/2007
1/4/2010
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
10/26/2009
12/19/2015
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
10/26/2009
1/4/2010
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
8/22/2023
11/27/2024
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
8/22/2023
11/27/2024
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aguon, Michael Uwe
551406
Agent - Health
9/12/2002
2/20/2007
Inactive
Aguon, Michael Uwe
551406
Agent - Life
9/12/2002
2/20/2007
Inactive
Anderson, Edwin F
510006
Agent - Health
6/10/2002
2/21/2005
Inactive
Anderson, Edwin F
510006
Agent - Life
6/10/2002
2/21/2005
Inactive
Ashley, James Sanford
372557
Agent - Health
6/10/2002
2/21/2005
Inactive
Ashley, James Sanford
372557
Agent - Life
6/10/2002
2/21/2005
Inactive
Ashley, Karen Ruth
315597
Agent - Health
6/10/2002
2/21/2005
Inactive
Ashley, Karen Ruth
315597
Agent - Life
6/10/2002
2/21/2005
Inactive
Bentley, Michael Shawn
525740
Agent - Health
6/10/2002
2/25/2003
Inactive
Bentley, Michael Shawn
525740
Agent - Life
6/10/2002
2/25/2003
Inactive
Biaesch, Philip William
304660
Agent - Health
12/1/1999
1/3/2001
Inactive
Biaesch, Philip William
304660
Agent - Life
12/1/1999
1/3/2001
Denied
Bloomingdale, Arthur Lee
698514
Agent - Casualty
Inactive
Bloomingdale, Arthur Lee
698514
Agent - Health
3/28/2018
9/17/2018
Inactive
Bloomingdale, Arthur Lee
698514
Agent - Life
3/28/2018
9/17/2018
Denied
Bloomingdale, Arthur Lee
698514
Agent - Property
Inactive
Bryant, Frank
338775
Agent - Health
6/10/2002
3/10/2003
Inactive
Bryant, Frank
338775
Agent - Life
6/10/2002
3/10/2003
Inactive
Campbell, Gary Allen
348519
Agent - Health
1/27/2003
3/28/2018
Inactive
Campbell, Gary Allen
348519
Agent - Life
1/27/2003
3/28/2018
Inactive
Charles, Brian David
322855
Agent - Health
6/10/2002
2/20/2007
Inactive
Charles, Brian David
322855
Agent - Life
6/10/2002
2/20/2007
Inactive
Clinard, Fred Louis
548945
Agent - Health
10/17/2002
3/28/2005
Inactive
Clinard, Fred Louis
548945
Agent - Life
10/17/2002
6/30/2005
Active
Cline, Jeffrey L
363693
Agent - Health
6/10/2002
Active
Cline, Jeffrey L
363693
Agent - Life
6/10/2002
Inactive
Cochran, Joseph Byron
393686
Agent - Health
6/10/2002
11/3/2004
Inactive
Cochran, Joseph Byron
393686
Agent - Life
6/10/2002
11/3/2004
Inactive
Cochran, Kirt Allen
996778
Agent - Casualty
7/5/2018
2/28/2022
Inactive
Cochran, Kirt Allen
996778
Agent - Property
7/5/2018
2/28/2022
Inactive
Collum, Max H
326988
Agent - Health
6/10/2002
6/1/2004
Inactive
Collum, Max H
326988
Agent - Life
6/10/2002
6/1/2004
Inactive
Connor, Tim J.
504819
Agent - Health
6/10/2002
9/8/2003
Inactive
Connor, Tim J.
504819
Agent - Life
6/10/2002
9/8/2003
Inactive
Creech, James Ray
331242
Agent - Health
6/10/2002
2/21/2005
Inactive
Creech, James Ray
331242
Agent - Life
6/10/2002
2/21/2005
Active
Creech, Patricia Ann
363811
Agent - Health
6/10/2002
Active
Creech, Patricia Ann
363811
Agent - Life
6/10/2002
Inactive
Creech, Randall L
328941
Agent - Health
6/10/2002
2/20/2007
Inactive
Creech, Randall L
328941
Agent - Life
6/10/2002
2/20/2007
Active
Day, Theodore J
343038
Agent - Health
6/10/2002
Active
Day, Theodore J
343038
Agent - Life
6/10/2002
Inactive
Dittmeier, Anthony J
353199
Agent - Health
6/10/2002
3/10/2003
Inactive
Dittmeier, Anthony J
353199
Agent - Life
6/10/2002
3/10/2003
Inactive
Doench, Jennifer Lynn
516983
Agent - Health
6/10/2002
7/7/2003
Inactive
Doench, Jennifer Lynn
516983
Agent - Life
6/10/2002
7/7/2003
Inactive
Doss, Gerald G
303522
Agent - Health
6/10/2002
10/1/2017
Inactive
Doss, Gerald G
303522
Agent - Life
6/10/2002
10/1/2017
Inactive
Dow, George C
359795
Agent - Health
6/10/2002
3/28/2005
Inactive
Dow, George C
359795
Agent - Life
6/10/2002
3/28/2005
Inactive
Earnhart, Aimee Sung-ae
384733
Agent - Health
6/10/2002
11/30/2005
Inactive
Earnhart, Aimee Sung-ae
384733
Agent - Life
6/10/2002
11/30/2005
Inactive
Gifford, Steven Dwayne
341840
Agent - Health
6/10/2002
3/28/2018
Inactive
Gifford, Steven Dwayne
341840
Agent - Life
6/10/2002
3/28/2018
Inactive
Gobel, James Todd
367664
Agent - Health
6/10/2002
2/20/2007
Inactive
Gobel, James Todd
367664
Agent - Life
6/10/2002
2/20/2007
Active
Hammond, David K
307708
Agent - Health
6/10/2002
Active
Hammond, David K
307708
Agent - Life
6/10/2002
Inactive
Hill, James A
318761
Agent - Health
10/27/2005
3/1/2007
Inactive
Hill, James A
318761
Agent - Life
10/27/2005
3/1/2007
Inactive
Holderfield, Thomas C
331596
Agent - Health
6/10/2002
2/21/2005
Inactive
Holderfield, Thomas C
331596
Agent - Life
6/10/2002
2/21/2005
Inactive
Janssen, Leon Dale
348199
Agent - Health
10/14/1988
8/23/1997
Inactive
Janssen, Leon Dale
348199
Agent - Life
10/14/1988
8/23/1997
Inactive
Johnson, Deborah Arlene
351203
Agent - Health
6/10/2002
9/30/2004
Denied
Johnson, Deborah Arlene
351203
Agent - Life
Inactive
Kearney, Jessica Dale
549640
Agent - Health
6/20/2002
1/17/2003
Inactive
Kearney, Jessica Dale
549640
Agent - Life
6/20/2002
1/17/2003
Inactive
Lehmann, Robert G
326419
Agent - Health
6/10/2002
3/10/2003
Inactive
Lehmann, Robert G
326419
Agent - Life
6/10/2002
3/10/2003
Inactive
Malone, James H
360129
Agent - Health
6/10/2002
7/31/2013
Inactive
Malone, James H
360129
Agent - Life
6/10/2002
7/31/2013
Inactive
Malone, Taris Minar
515509
Agent - Health
6/10/2002
7/1/2002
Inactive
Malone, Taris Minar
515509
Agent - Life
6/10/2002
7/1/2002
Inactive
Markel, Randall Lynn
347758
Agent - Health
9/22/1997
12/14/1998
Inactive
Markel, Randall Lynn
347758
Agent - Life
9/22/1997
12/14/1998
Inactive
Marshall, La-Temus
543207
Agent - Health
6/10/2002
5/10/2006
Inactive
Marshall, La-Temus
543207
Agent - Life
6/10/2002
5/10/2006
Inactive
Martin, David Parmalee
360782
Agent - Health
6/10/2002
7/1/2002
Inactive
Martin, David Parmalee
360782
Agent - Life
6/10/2002
7/1/2002
Inactive
McMullen, Sherrie D
520329
Agent - Health
10/23/2006
10/31/2020
Inactive
McMullen, Sherrie D
520329
Agent - Life
10/23/2006
10/31/2020
Inactive
Meredith, James L
335232
Agent - Health
6/10/2002
12/1/2022
Inactive
Meredith, James L
335232
Agent - Life
6/10/2002
12/1/2022
Inactive
Morgan, Patrick A
371585
Agent - Health
6/10/2002
6/30/2008
Inactive
Morgan, Patrick A
371585
Agent - Life
6/10/2002
6/30/2008
Active
Olsen, George Laurence
302437
Agent - Health
6/10/2002
Active
Olsen, George Laurence
302437
Agent - Life
6/10/2002
Inactive
Parsons, Jack C
388034
Agent - Health
6/10/2002
3/31/2003
Inactive
Parsons, Jack C
388034
Agent - Life
6/10/2002
3/31/2003
Inactive
Pennington, Dean Alan
594857
Agent - Health
5/6/2005
10/15/2005
Inactive
Pennington, Dean Alan
594857
Agent - Life
5/6/2005
10/15/2005
Inactive
Petersen, Martin Deane
338450
Agent - Health
6/26/1989
3/26/1997
Inactive
Petersen, Martin Deane
338450
Agent - Life
6/26/1989
3/26/1997
Inactive
Petrey, Robert E
515106
Agent - Health
6/10/2002
12/31/2002
Inactive
Porter, Sherry Sue
516893
Agent - Health
6/10/2002
2/21/2005
Inactive
Porter, Sherry Sue
516893
Agent - Life
6/10/2002
2/21/2005
Inactive
Power, John Joseph
374981
Agent - Health
12/1/1999
1/4/2010
Inactive
Power, John Joseph
374981
Agent - Life
12/1/1999
1/4/2010
Inactive
Power, John Joseph
374981
Agent - Variable Life and Variable Annuities
8/28/2003
1/4/2010
Inactive
Pratt, Carl E
308860
Agent - Health
6/10/2002
7/1/2002
Inactive
Pratt, Carl E
308860
Agent - Life
6/10/2002
7/1/2002
Active
Proskovec, Adam D
1141252
Agent - Casualty
6/14/2022
Active
Proskovec, Adam D
1141252
Agent - Property
6/14/2022
Inactive
Puls, Michael Lee
525784
Agent - Health
6/10/2002
9/14/2004
Inactive
Puls, Michael Lee
525784
Agent - Life
6/10/2002
9/14/2004
Inactive
Rife, Robert D
514440
Agent - Health
6/10/2002
6/17/2002
Inactive
Rife, Robert D
514440
Agent - Life
6/10/2002
6/17/2002
Inactive
Rijos, Mayra
541176
Agent - Health
6/10/2002
3/6/2003
Inactive
Rijos, Mayra
541176
Agent - Life
6/10/2002
3/6/2003
Inactive
Simerly, Garry Lynn
552084
Agent - Health
9/12/2002
11/28/2012
Inactive
Simerly, Garry Lynn
552084
Agent - Life
9/12/2002
11/28/2012
Inactive
Skar, Alfred J
672048
Agent - Health
9/17/2018
10/28/2021
Inactive
Skar, Alfred J
672048
Agent - Life
9/17/2018
10/27/2022
Active
Skar, Alfred J
672048
Agent - Variable Life and Variable Annuities
5/17/2013
Inactive
Smith, Dana Andrew
546688
Agent - Health
6/20/2002
8/2/2002
Inactive
Smith, Dana Andrew
546688
Agent - Life
6/20/2002
7/23/2002
Inactive
Steele, James David
332826
Agent - Health
8/20/2002
7/31/2003
Inactive
Steele, James David
332826
Agent - Life
8/20/2002
7/31/2003
Inactive
Thomas, John Edwin
312465
Agent - Health
12/14/1998
4/5/1999
Inactive
Thomas, John Edwin
312465
Agent - Life
12/14/1998
4/5/1999
Inactive
Trepal, Gilbert Anthony
546983
Agent - Health
6/10/2002
12/23/2004
Inactive
Trepal, Gilbert Anthony
546983
Agent - Life
6/10/2002
2/21/2005
Inactive
Voycheske, Jean L
595147
Agent - Casualty
2/4/2009
12/31/2019
Inactive
Voycheske, Jean L
595147
Agent - Property
2/4/2009
12/31/2019
Inactive
White, Russell Keith
305215
Agent - Health
6/10/2002
2/20/2007
Inactive
White, Russell Keith
305215
Agent - Life
6/10/2002
2/20/2007
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