DEPARTMENT OF INSURANCE
Affiliations
NameQuick & ReillyDOIID400526NAIC NPN1593755
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20015/31/2005 
InactiveNon ResidentAgentHealth11/13/19955/31/2005 
InactiveNon ResidentAgentLife11/13/19955/31/2005 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Life4/22/19975/31/2005
InactiveAmerican Enterprise Life Insurance Company300262Agent - Life11/18/20025/31/2005
InactiveAmerican Enterprise Life Insurance Company300262Agent - Variable Life and Variable Annuities11/18/20025/31/2005
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health10/26/20015/31/2005
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life10/26/20015/31/2005
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Variable Life and Variable Annuities10/26/20015/31/2005
InactiveC.M. Life Insurance Company301335Agent - Health1/15/20035/31/2005
InactiveC.M. Life Insurance Company301335Agent - Life1/15/20035/31/2005
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities1/15/20035/31/2005
InactiveDelaware Life Insurance Company301256Agent - Health12/31/20035/31/2005
InactiveDelaware Life Insurance Company301256Agent - Life1/10/20025/31/2005
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities1/10/20025/31/2005
InactiveEquitable Financial Life Insurance Company300808Agent - Life3/5/20015/31/2005
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities5/31/20015/31/2005
InactiveEquitable Life Insurance Company of Iowa301633Agent - Life12/18/20011/1/2004
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities6/14/20015/31/2005
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life9/21/20015/3/2005
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities9/21/20015/3/2005
InactiveGenworth Life Insurance Company300623Agent - Health5/23/20025/31/2005
InactiveGenworth Life Insurance Company300623Agent - Life5/23/20025/31/2005
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health5/28/20025/31/2005
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life5/28/20025/31/2005
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities5/28/20025/31/2005
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities6/14/20011/1/2005
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life10/22/200112/9/2004
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities10/22/200112/9/2004
InactiveJackson National Life Insurance Company300486Agent - Life7/23/20014/7/2005
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities7/23/20011/7/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Health12/4/20025/31/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Life12/4/20025/31/2005
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities12/4/20025/31/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life5/18/19985/31/2005
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities12/4/20025/31/2005
InactiveKeyport Life Insurance Company300319Agent - Health4/30/200112/31/2003
InactiveKeyport Life Insurance Company300319Agent - Life4/30/200112/31/2003
InactiveKeyport Life Insurance Company300319Agent - Variable Life and Variable Annuities4/30/200112/31/2003
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health1/15/20035/31/2005
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life1/15/20035/31/2005
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities1/15/20035/31/2005
InactiveNationwide Life Insurance Company300495Agent - Health5/9/19975/31/2005
InactiveNationwide Life Insurance Company300495Agent - Life5/9/19975/31/2005
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities12/4/20025/31/2005
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life7/30/20035/31/2005
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities7/30/20035/31/2005
InactivePacific Life Insurance Company301848Agent - Life3/31/200310/22/2004
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/31/200310/22/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/7/200311/10/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/7/200311/10/2004
InactiveSun Life Assurance Company of Canada301811Agent - Life3/13/20035/31/2005
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life7/26/20015/31/2005
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities7/26/20015/31/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Health11/13/19955/31/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Life11/13/19955/31/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities10/9/20015/31/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health10/9/20015/31/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life10/9/20015/31/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities10/9/20015/31/2005
InactiveUNUM Life Insurance Company of America300817Agent - Health1/7/200311/10/2004
InactiveUNUM Life Insurance Company of America300817Agent - Life1/7/200311/10/2004
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/25/19965/31/2005
InactiveUnited of Omaha Life Insurance Company300156Agent - Variable Life and Variable Annuities6/5/20015/31/2005
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/1/20045/31/2005
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health4/9/200110/24/2004
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life4/9/200110/24/2004
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities8/13/200110/24/2004
InactiveWestern National Life Insurance Company300461Agent - Life5/31/200211/1/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBugg, David Campbell 359082Agent - Health11/13/19955/31/2005
InactiveBugg, David Campbell 359082Agent - Life11/13/19955/31/2005
InactiveBugg, David Campbell 359082Agent - Variable Life and Variable Annuities7/1/20025/31/2005
InactiveClement, Jerome F 539314Agent - Health7/29/20025/31/2005
InactiveClement, Jerome F 539314Agent - Life7/29/20025/31/2005
InactiveClement, Jerome F 539314Agent - Variable Life and Variable Annuities7/29/20025/31/2005

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