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DEPARTMENT OF INSURANCE
Affiliations
Name
Prudential Direct Inc.
DOIID
400266
NAIC NPN
1056244
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
6/14/2002
1/5/2007
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
6/14/2002
1/5/2007
Inactive
Non Resident
Agent
Health
6/14/2002
1/5/2007
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
11/13/1998
11/2/1998
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
11/13/1998
11/2/1998
Inactive
American National Insurance Company
301861
Agent - Health
9/9/2003
1/5/2007
Inactive
American National Insurance Company
301861
Agent - Life
9/9/2003
1/5/2007
Inactive
American Network Insurance Company
301156
Agent - Health
2/23/1998
11/2/1998
Inactive
C.M. Life Insurance Company
301335
Agent - Health
9/3/2002
1/5/2007
Inactive
C.M. Life Insurance Company
301335
Agent - Life
9/3/2002
1/5/2007
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
9/3/2002
1/5/2007
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
8/12/1998
11/2/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
8/12/1998
11/2/1998
Inactive
Continental General Insurance Company
300691
Agent - Health
1/14/1998
11/2/1998
Inactive
Continental General Insurance Company
300691
Agent - Life
1/14/1998
11/2/1998
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Health
12/8/2004
1/5/2007
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
12/8/2004
1/5/2007
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
12/8/2004
1/5/2007
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Health
8/31/2006
1/5/2007
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
8/31/2006
1/5/2007
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
8/31/2006
1/5/2007
Inactive
Golden Rule Insurance Company
301943
Agent - Health
7/21/1998
11/2/1998
Inactive
Golden Rule Insurance Company
301943
Agent - Life
7/21/1998
11/2/1998
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
2/12/2003
1/5/2005
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
2/12/2003
1/5/2005
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
7/1/2002
1/5/2007
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
7/1/2002
1/5/2007
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
9/3/2002
1/5/2007
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
9/3/2002
1/5/2007
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
9/3/2002
1/5/2007
Inactive
Nassau Life Insurance Company
301406
Agent - Life
7/12/2002
1/5/2007
Inactive
Nassau Life Insurance Company
301406
Agent - Variable Life and Variable Annuities
7/12/2002
1/5/2007
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
11/5/2005
5/19/2006
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
11/5/2005
5/19/2006
Inactive
PHL Variable Insurance Company
300525
Agent - Life
7/12/2002
1/5/2007
Inactive
PHL Variable Insurance Company
300525
Agent - Variable Life and Variable Annuities
7/12/2002
1/5/2007
Inactive
Pacific Life Insurance Company
301848
Agent - Health
7/8/2002
1/5/2007
Inactive
Pacific Life Insurance Company
301848
Agent - Life
7/8/2002
1/5/2007
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
7/8/2002
1/5/2007
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
9/21/1998
11/2/1998
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
9/21/1998
11/2/1998
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
1/6/2006
1/5/2007
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
1/6/2006
1/5/2007
Inactive
Pruco Life Insurance Company
300954
Agent - Health
6/14/2002
1/5/2007
Inactive
Pruco Life Insurance Company
300954
Agent - Life
6/14/2002
1/5/2007
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
6/14/2002
1/5/2007
Inactive
Prudential Insurance Company of America
300784
Agent - Health
6/14/2002
1/5/2007
Inactive
Prudential Insurance Company of America
300784
Agent - Life
6/14/2002
1/5/2007
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
6/14/2002
1/5/2007
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
7/9/2002
1/5/2007
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
7/9/2002
1/5/2007
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
7/3/2002
1/5/2007
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
7/3/2002
1/5/2007
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
7/3/2002
1/5/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
7/3/2002
1/5/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
7/3/2002
1/5/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
7/3/2002
1/5/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
7/8/2002
1/5/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
7/8/2002
1/5/2007
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
7/31/2002
1/5/2007
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
7/31/2002
1/5/2007
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Emery, David Stephen
375457
Agent - Health
11/17/1997
7/1/1998
Inactive
Emery, David Stephen
375457
Agent - Life
11/17/1997
7/1/1998
Inactive
Lavallato, Michael Gerard
347341
Agent - Health
11/17/1997
11/2/1998
Inactive
Lavallato, Michael Gerard
347341
Agent - Life
11/17/1997
11/2/1998
Inactive
Pilone, Anthony Paul
561039
Agent - Health
7/9/2004
1/5/2007
Inactive
Pilone, Anthony Paul
561039
Agent - Life
7/9/2004
1/5/2007
Inactive
Pilone, Anthony Paul
561039
Agent - Variable Life and Variable Annuities
7/9/2004
1/5/2007
Inactive
Sardis, Anthony M
537394
Agent - Health
6/14/2002
7/9/2004
Inactive
Sardis, Anthony M
537394
Agent - Life
6/14/2002
7/9/2004
Inactive
Sardis, Anthony M
537394
Agent - Variable Life and Variable Annuities
6/14/2002
7/9/2002
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