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DEPARTMENT OF INSURANCE
Affiliations
Name
Mutual Service Corporation
DOIID
400249
NAIC NPN
100301
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Variable Life and Variable Annuities
7/27/2001
3/31/2011
Inactive
Resident
Agent
Health
11/6/1999
3/31/2011
Inactive
Resident
Agent
Life
7/30/2001
3/31/2011
* 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
Allianz Life Insurance Company of North America
301791
Agent - Life
7/30/2001
3/31/2011
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
7/27/2001
3/31/2011
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
7/30/2001
9/20/2005
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Variable Life and Variable Annuities
7/27/2001
9/20/2005
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
4/9/2007
9/17/2009
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Variable Life and Variable Annuities
4/9/2007
9/17/2009
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
7/30/2001
5/1/2007
Inactive
Augustar Life Insurance Company
301816
Agent - Life
8/24/2001
2/8/2011
Inactive
Augustar Life Insurance Company
301816
Agent - Variable Life and Variable Annuities
8/24/2001
3/31/2011
Inactive
C.M. Life Insurance Company
301335
Agent - Health
4/9/2001
8/19/2010
Inactive
C.M. Life Insurance Company
301335
Agent - Life
7/30/2001
8/19/2010
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
7/27/2001
8/19/2010
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
9/23/2003
4/1/2007
Inactive
Columbus Life Insurance Company
301227
Agent - Life
11/19/2001
3/31/2011
Inactive
Columbus Life Insurance Company
301227
Agent - Variable Life and Variable Annuities
11/19/2001
3/31/2011
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
7/30/2001
12/31/2008
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
7/30/2001
3/31/2011
Inactive
Continental Casualty Company
301019
Agent - Health
12/13/1999
11/29/2004
Inactive
Delaware Life Insurance Company
301256
Agent - Life
7/30/2001
10/9/2009
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
7/27/2001
10/9/2009
Inactive
Empower Annuity Insurance Company
300168
Agent - Health
5/29/2007
3/31/2011
Inactive
Empower Annuity Insurance Company
300168
Agent - Life
5/29/2007
3/31/2011
Inactive
Empower Annuity Insurance Company
300168
Agent - Variable Life and Variable Annuities
5/29/2007
3/31/2011
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
7/30/2001
11/10/2009
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
7/27/2001
11/10/2009
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
9/9/2002
3/31/2011
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
9/9/2002
3/31/2011
Inactive
Equitable Financial Life and Annuity Company
301833
Agent - Life
5/18/1999
2/3/2003
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Variable Life and Variable Annuities
3/31/2001
1/1/2004
Inactive
Everlake Life Insurance Company
300873
Agent - Life
11/25/2003
8/26/2010
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
11/25/2003
8/26/2010
Inactive
First Colony Life Insurance Company
301179
Agent - Health
7/23/2001
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
7/30/2001
1/1/2007
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
7/30/2001
3/31/2011
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
7/27/2001
3/31/2011
Inactive
Genworth Life Insurance Company
300623
Agent - Health
8/21/2004
3/31/2011
Inactive
Genworth Life Insurance Company
300623
Agent - Life
8/21/2004
3/31/2011
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/2/2002
3/31/2011
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/2/2002
3/31/2011
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
1/2/2002
3/31/2011
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
11/25/2003
1/1/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
11/25/2003
1/1/2005
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
7/30/2001
9/14/2009
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
7/27/2001
9/14/2009
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
7/30/2001
9/8/2009
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
7/27/2001
9/8/2009
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
7/30/2001
6/8/2006
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
5/7/2001
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
7/30/2001
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
7/27/2001
7/2/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
10/10/2000
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
7/30/2001
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Variable Life and Variable Annuities
10/18/2001
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
12/30/2009
3/31/2011
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
7/30/2001
3/31/2011
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
12/30/2009
3/31/2011
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Health
9/25/2000
2/24/2009
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
7/30/2001
2/24/2009
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Variable Life and Variable Annuities
10/18/2001
2/24/2009
Inactive
Keyport Life Insurance Company
300319
Agent - Life
9/18/1991
12/31/2003
Inactive
Keyport Life Insurance Company
300319
Agent - Variable Life and Variable Annuities
4/24/2001
12/31/2003
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
11/22/2006
11/16/2009
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
11/22/2006
11/16/2009
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
11/22/2006
11/16/2009
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
8/28/2000
9/22/2009
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/30/2001
9/22/2009
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
7/27/2001
9/22/2009
Inactive
MML Bay State Life Insurance Company
301198
Agent - Health
4/9/2001
8/19/2010
Inactive
MML Bay State Life Insurance Company
301198
Agent - Life
7/30/2001
8/19/2010
Inactive
MML Bay State Life Insurance Company
301198
Agent - Variable Life and Variable Annuities
7/27/2001
8/19/2010
Inactive
MONY Life Insurance Company
301141
Agent - Life
9/9/2002
8/26/2003
Inactive
MONY Life Insurance Company
301141
Agent - Variable Life and Variable Annuities
9/9/2002
8/26/2003
Inactive
Manufacturers Life Insurance Company
300855
Agent - Life
10/5/1994
12/31/1996
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Life
11/4/1994
12/31/2001
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Variable Life and Variable Annuities
7/27/2001
12/31/2001
Inactive
Manufacturers Life Insurance Company of North America
301899
Agent - Life
10/26/1987
1/22/2002
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
4/9/2001
8/19/2010
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
7/30/2001
8/19/2010
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
7/27/2001
8/19/2010
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
2/18/2005
9/30/2009
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
2/18/2005
9/30/2009
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
2/18/2005
9/30/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
1/30/2004
9/30/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
1/30/2004
9/30/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
1/30/2004
9/30/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
7/30/2001
3/31/2011
Inactive
Midland National Life Insurance Company
300923
Agent - Health
8/7/2000
10/20/2009
Inactive
Midland National Life Insurance Company
300923
Agent - Life
7/30/2001
10/20/2009
Inactive
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
2/17/2005
10/20/2009
Inactive
Nassau Life Insurance Company
301406
Agent - Life
7/30/2001
9/18/2010
Inactive
Nassau Life Insurance Company
301406
Agent - Variable Life and Variable Annuities
7/27/2001
9/18/2010
Inactive
National Life Insurance Company
301852
Agent - Health
5/21/2001
12/12/2008
Inactive
National Life Insurance Company
301852
Agent - Life
7/30/2001
12/12/2008
Inactive
National Life Insurance Company
301852
Agent - Variable Life and Variable Annuities
7/27/2001
12/12/2008
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
7/30/2001
9/13/2010
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
7/27/2001
9/13/2010
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Life
7/30/2001
12/31/2009
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Variable Life and Variable Annuities
7/27/2001
12/31/2009
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
7/30/2001
9/13/2010
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
7/30/2001
3/31/2011
Inactive
PHL Variable Insurance Company
300525
Agent - Life
7/30/2001
9/18/2010
Inactive
PHL Variable Insurance Company
300525
Agent - Variable Life and Variable Annuities
7/27/2001
9/18/2010
Inactive
Pacific Life Insurance Company
301848
Agent - Health
11/6/1999
5/6/2010
Inactive
Pacific Life Insurance Company
301848
Agent - Life
7/30/2001
5/6/2010
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
7/27/2001
5/6/2010
Inactive
Penn Insurance and Annuity Company
300712
Agent - Life
7/30/2001
3/31/2011
Inactive
Penn Insurance and Annuity Company
300712
Agent - Variable Life and Variable Annuities
4/17/2009
3/31/2011
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
7/30/2001
3/31/2011
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Variable Life and Variable Annuities
4/17/2009
3/31/2011
Inactive
Principal Life Insurance Company
300129
Agent - Life
7/30/2001
9/14/2009
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
7/27/2001
9/14/2009
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
3/31/2011
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
12/11/2001
3/31/2011
Inactive
Pruco Life Insurance Company
300954
Agent - Life
7/30/2001
3/31/2011
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
7/27/2001
3/31/2011
Inactive
Prudential Insurance Company of America
300784
Agent - Life
7/30/2001
3/31/2011
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
7/27/2001
3/31/2011
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
11/22/2000
9/20/2004
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
7/30/2001
9/20/2004
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
7/30/2001
10/20/2009
Denied
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
Inactive
Standard Insurance Company
300185
Agent - Health
12/5/2003
3/31/2011
Inactive
Standard Insurance Company
300185
Agent - Life
12/5/2003
3/31/2011
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
7/30/2001
3/31/2011
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
6/24/2008
3/31/2011
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
1/26/1993
3/31/2003
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
7/30/2001
1/21/2010
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
11/13/2001
1/21/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
7/30/2001
1/21/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
11/13/2001
1/21/2010
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
10/1/2008
10/23/2009
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
9/17/2005
10/23/2009
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
10/1/2005
10/23/2009
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Life
7/30/2001
10/1/2005
Inactive
Transamerica Life Insurance and Annuity Company
300148
Agent - Variable Life and Variable Annuities
9/25/2003
10/1/2005
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
4/30/2001
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
7/30/2001
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Variable Life and Variable Annuities
9/25/2003
10/1/2008
Inactive
USG Annuity & Life Company
300457
Agent - Life
8/13/2001
1/1/2004
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
1/1/2004
3/31/2011
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
7/27/2001
3/31/2011
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
3/13/2000
3/31/2011
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
7/30/2001
3/31/2011
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
7/27/2001
3/31/2011
Inactive
Western National Life Insurance Company
300461
Agent - Life
7/30/2001
3/23/2009
Inactive
Western National Life Insurance Company
300461
Agent - Variable Life and Variable Annuities
7/27/2001
3/31/2011
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
7/30/2001
12/5/2008
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
7/27/2001
12/5/2008
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
7/30/2001
3/31/2011
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Becker, Mary M
361575
Agent - Life
9/1/1987
11/27/1999
Inactive
Dixon, John Lincoln
322595
Agent - Health
11/6/1999
5/8/2006
Inactive
Dixon, John Lincoln
322595
Agent - Life
3/31/1993
5/8/2006
Inactive
Dixon, John Lincoln
322595
Agent - Variable Life and Variable Annuities
3/1/2001
5/8/2006
Denied
Kopf, Arthur Thomas
700293
Agent - Health
Inactive
Kopf, Arthur Thomas
700293
Agent - Life
3/13/2009
5/12/2010
Inactive
Kopf, Arthur Thomas
700293
Agent - Variable Life and Variable Annuities
3/13/2009
5/12/2010
Inactive
Lyle, Timothy James
323044
Agent - Health
2/9/2007
3/2/2009
Inactive
Lyle, Timothy James
323044
Agent - Life
2/9/2007
3/2/2009
Inactive
Lyle, Timothy James
323044
Agent - Variable Life and Variable Annuities
2/9/2007
3/2/2009
Inactive
Polley, Diane Renee
306010
Agent - Health
2/9/2007
3/31/2011
Inactive
Polley, Diane Renee
306010
Agent - Life
2/9/2007
3/31/2011
Inactive
Polley, Diane Renee
306010
Agent - Variable Life and Variable Annuities
2/9/2007
3/31/2011
Denied
Ryan, Sheri Lynn
678883
Agent - Life
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