DEPARTMENT OF INSURANCE
Affiliations
NameCapital Select Investments CorporationDOIID400246NAIC NPN2099674
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife2/7/199611/1/2007 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/200111/1/2007 
InactiveNon ResidentAgentHealth3/13/200611/1/2007 
* 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
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health8/8/199612/18/2004
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life8/8/199611/1/2007
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities5/31/200111/1/2007
InactiveJackson National Life Insurance Company300486Agent - Health2/7/199612/18/2004
InactiveJackson National Life Insurance Company300486Agent - Life2/7/199611/1/2007
InactiveJefferson National Life Insurance Company300258Agent - Health8/31/199812/18/2004
InactiveJefferson National Life Insurance Company300258Agent - Life8/31/19986/8/2006
InactiveJohn Alden Life Insurance Company300573Agent - Health3/13/200611/1/2007
InactiveJohn Alden Life Insurance Company300573Agent - Life3/8/200611/1/2007
InactiveMetLife Investors USA Insurance Company300845Agent - Life8/7/200111/1/2007
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities8/7/200111/1/2007
InactiveNationwide Life Insurance Company300495Agent - Health7/29/199612/18/2004
InactiveNationwide Life Insurance Company300495Agent - Life7/29/199611/1/2007
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities5/31/200111/1/2007
InactivePacific Life Insurance Company301848Agent - Life9/28/200611/1/2007
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities9/28/200611/1/2007
InactiveReliaStar Life Insurance Company301712Agent - Life5/15/199811/1/2007
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health11/19/199611/19/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life11/19/199611/19/2003
InactiveTalcott Resolution Life Insurance Company301759Agent - Health6/3/199612/18/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Life6/3/199611/1/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities11/13/200111/1/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health6/3/199612/18/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life6/3/199611/1/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities11/13/200111/1/2007
InactiveUSG Annuity & Life Company300457Agent - Life2/20/200210/18/2002
InactiveVenerable Insurance and Annuity Company301006Agent - Life12/9/19972/24/2005
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBetts, David Wayne 302744Agent - Health2/7/19962/12/2003
InactiveBetts, David Wayne 302744Agent - Life2/7/19962/12/2003
InactiveChenault, Jeffrey Carl 385991Agent - Health2/7/19967/1/1996
InactiveChenault, Jeffrey Carl 385991Agent - Life2/7/19967/1/1996
InactiveDelker, Steven James 322880Agent - Health2/7/199612/1/2000
InactiveDelker, Steven James 322880Agent - Life2/7/199612/1/2000
InactiveGrogan, Douglas Hulon 368617Agent - Health2/7/19967/1/1996
InactiveGrogan, Douglas Hulon 368617Agent - Life2/7/19967/1/1996
InactiveMiles, Mary L 314169Agent - Health2/7/19962/12/2003
InactiveMiles, Mary L 314169Agent - Life2/7/19962/12/2003
DeniedWeber, Jeffrey L 381922Agent - Health  
DeniedWeber, Jeffrey L 381922Agent - Life  
DeniedWeber, Jeffrey L 381922Agent - Variable Life and Variable Annuities  
InactiveWeber, Loyd William 350079Agent - Health2/12/199611/1/2002
InactiveWeber, Loyd William 350079Agent - Life2/12/19961/16/2002
InactiveWhelan, Justin B. 330146Agent - Health2/7/19962/12/2003
InactiveWhelan, Justin B. 330146Agent - Life2/7/19962/12/2003

© Commonwealth of Kentucky. All rights reserved.