DEPARTMENT OF INSURANCE
Affiliations
NamePrudential Direct Inc.DOIID400266NAIC NPN1056244
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife6/14/20021/5/2007 
InactiveNon ResidentAgentVariable Life and Variable Annuities6/14/20021/5/2007 
InactiveNon ResidentAgentHealth6/14/20021/5/2007 
* 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
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health11/13/199811/2/1998
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life11/13/199811/2/1998
InactiveAmerican National Insurance Company301861Agent - Health9/9/20031/5/2007
InactiveAmerican National Insurance Company301861Agent - Life9/9/20031/5/2007
InactiveAmerican Network Insurance Company301156Agent - Health2/23/199811/2/1998
InactiveC.M. Life Insurance Company301335Agent - Health9/3/20021/5/2007
InactiveC.M. Life Insurance Company301335Agent - Life9/3/20021/5/2007
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities9/3/20021/5/2007
InactiveConseco Medical Insurance Company300719Agent - Health8/12/199811/2/1998
InactiveConseco Medical Insurance Company300719Agent - Life8/12/199811/2/1998
InactiveContinental General Insurance Company300691Agent - Health1/14/199811/2/1998
InactiveContinental General Insurance Company300691Agent - Life1/14/199811/2/1998
InactiveEquitable Financial Life Insurance Company300808Agent - Health12/8/20041/5/2007
InactiveEquitable Financial Life Insurance Company300808Agent - Life12/8/20041/5/2007
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities12/8/20041/5/2007
InactiveEquitable Financial Life Insurance Company of America301772Agent - Health8/31/20061/5/2007
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life8/31/20061/5/2007
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities8/31/20061/5/2007
InactiveGolden Rule Insurance Company301943Agent - Health7/21/199811/2/1998
InactiveGolden Rule Insurance Company301943Agent - Life7/21/199811/2/1998
InactiveIllinois Mutual Life Insurance Company301479Agent - Health2/12/20031/5/2005
InactiveIllinois Mutual Life Insurance Company301479Agent - Life2/12/20031/5/2005
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life7/1/20021/5/2007
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities7/1/20021/5/2007
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/3/20021/5/2007
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life9/3/20021/5/2007
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities9/3/20021/5/2007
InactiveNassau Life Insurance Company301406Agent - Life7/12/20021/5/2007
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities7/12/20021/5/2007
InactiveNationwide Life Insurance Company300495Agent - Life11/5/20055/19/2006
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities11/5/20055/19/2006
InactivePHL Variable Insurance Company300525Agent - Life7/12/20021/5/2007
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities7/12/20021/5/2007
InactivePacific Life Insurance Company301848Agent - Health7/8/20021/5/2007
InactivePacific Life Insurance Company301848Agent - Life7/8/20021/5/2007
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities7/8/20021/5/2007
InactivePaul Revere Life Insurance Company300971Agent - Health9/21/199811/2/1998
InactivePaul Revere Life Insurance Company300971Agent - Life9/21/199811/2/1998
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/6/20061/5/2007
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/6/20061/5/2007
InactivePruco Life Insurance Company300954Agent - Health6/14/20021/5/2007
InactivePruco Life Insurance Company300954Agent - Life6/14/20021/5/2007
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities6/14/20021/5/2007
InactivePrudential Insurance Company of America300784Agent - Health6/14/20021/5/2007
InactivePrudential Insurance Company of America300784Agent - Life6/14/20021/5/2007
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities6/14/20021/5/2007
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life7/9/20021/5/2007
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities7/9/20021/5/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Health7/3/20021/5/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Life7/3/20021/5/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities7/3/20021/5/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health7/3/20021/5/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life7/3/20021/5/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities7/3/20021/5/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health7/8/20021/5/2007
InactiveUNUM Life Insurance Company of America300817Agent - Life7/8/20021/5/2007
InactiveVenerable Insurance and Annuity Company301006Agent - Life7/31/20021/5/2007
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities7/31/20021/5/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEmery, David Stephen 375457Agent - Health11/17/19977/1/1998
InactiveEmery, David Stephen 375457Agent - Life11/17/19977/1/1998
InactiveLavallato, Michael Gerard 347341Agent - Health11/17/199711/2/1998
InactiveLavallato, Michael Gerard 347341Agent - Life11/17/199711/2/1998
InactivePilone, Anthony Paul 561039Agent - Health7/9/20041/5/2007
InactivePilone, Anthony Paul 561039Agent - Life7/9/20041/5/2007
InactivePilone, Anthony Paul 561039Agent - Variable Life and Variable Annuities7/9/20041/5/2007
InactiveSardis, Anthony M 537394Agent - Health6/14/20027/9/2004
InactiveSardis, Anthony M 537394Agent - Life6/14/20027/9/2004
InactiveSardis, Anthony M 537394Agent - Variable Life and Variable Annuities6/14/20027/9/2002

© Commonwealth of Kentucky. All rights reserved.