DEPARTMENT OF INSURANCE
Affiliations
NameBRIGHTHOUSE SECURITIES LLCDOIID400820NAIC NPN39571
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife2/29/1996 3/31/2026
ActiveNon ResidentAgentVariable Life and Variable Annuities10/9/2001 3/31/2026
ActiveNon ResidentAgentHealth2/29/1996 3/31/2026
* 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
InactiveBankers United Life Assurance Company300296Agent - Health11/26/200112/31/2001
InactiveBankers United Life Assurance Company300296Agent - Life11/26/200112/31/2001
ActiveBrighthouse Life Insurance Company301829Agent - Health2/29/1996 
ActiveBrighthouse Life Insurance Company301829Agent - Life2/29/1996 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities10/9/2001 
InactiveChase Insurance Life and Annuity Company300518Agent - Life9/1/20034/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Variable Life and Variable Annuities9/1/20034/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health11/1/20006/19/2007
InactiveGenworth Life Insurance Company300623Agent - Life11/1/20006/19/2007
InactiveJefferson National Life Insurance Company300258Agent - Life3/4/19998/19/1999
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life1/28/20007/2/2007
InactiveLife Investors Insurance Company of America301793Agent - Health12/31/20014/4/2005
InactiveLife Investors Insurance Company of America301793Agent - Life12/31/20014/4/2005
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/22/19968/3/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/22/20071/18/2017
InactiveMetLife Investors USA Insurance Company300845Agent - Health10/13/200511/14/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/13/200511/14/2009
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health12/27/199612/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life12/27/199612/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities10/9/200112/7/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health4/7/200512/18/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life4/7/200512/18/2012
InactiveNassau Life Insurance Company301406Agent - Health10/20/199912/2/2008
InactiveNassau Life Insurance Company301406Agent - Life10/20/199912/2/2008
InactiveNationwide Life Insurance Company300495Agent - Health10/25/19979/13/2007
InactiveNationwide Life Insurance Company300495Agent - Life10/25/19979/13/2007
InactivePHL Variable Insurance Company300525Agent - Health10/20/199912/2/2008
InactivePHL Variable Insurance Company300525Agent - Life10/20/199912/2/2008
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/22/2010
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/1/200712/22/2010
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health10/25/19997/7/2000
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life10/25/19998/7/2000
InactiveTransamerica Assurance Company300893Agent - Health11/26/200110/1/2004
InactiveTransamerica Assurance Company300893Agent - Life11/26/200110/1/2004
InactiveTransamerica Life Insurance Company300571Agent - Health5/17/200410/16/2006
InactiveTransamerica Life Insurance Company300571Agent - Life5/17/200410/16/2006
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life4/15/200410/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health12/3/200110/16/2006
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life12/3/200110/16/2006
InactiveTransamerica Premier Life Insurance Company300558Agent - Health11/26/20014/4/2005
InactiveTransamerica Premier Life Insurance Company300558Agent - Life11/26/20014/4/2005
InactiveTrustmark Insurance Company300317Agent - Health5/19/20035/31/2006
InactiveTrustmark Insurance Company300317Agent - Life5/19/20035/31/2006
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/6/200310/11/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/6/200310/11/2010
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBailey, Michael A 559403Agent - Health5/2/20032/16/2004
InactiveBailey, Michael A 559403Agent - Life5/2/20032/16/2004
InactiveBailey, Michael A 559403Agent - Variable Life and Variable Annuities5/2/20031/29/2004
InactiveBandi, Timothy J 320006Agent - Health6/20/20021/12/2004
InactiveBandi, Timothy J 320006Agent - Life6/20/20021/12/2004
InactiveBartram, Debra J 305609Agent - Health5/2/20036/20/2003
InactiveBartram, Debra J 305609Agent - Life5/2/20036/20/2003
InactiveBartram, Debra J 305609Agent - Variable Life and Variable Annuities5/2/20036/13/2003
InactiveDombrosky, David Alan 375109Agent - Health1/31/20051/31/2006
InactiveDombrosky, David Alan 375109Agent - Life1/31/20051/31/2006
InactiveDombrosky, David Alan 375109Agent - Variable Life and Variable Annuities1/31/20051/31/2006
InactiveDyer, Michael J 302013Agent - Health6/20/20029/30/2004
InactiveDyer, Michael J 302013Agent - Life6/20/20029/30/2004
InactiveHart, Matthew T 388803Agent - Health6/20/200212/31/2005
InactiveHart, Matthew T 388803Agent - Life6/20/200212/31/2005
InactiveHart, Matthew T 388803Agent - Variable Life and Variable Annuities6/20/200212/31/2005
InactiveHolterhoff, Charles R 353650Agent - Health2/29/19963/14/2014
InactiveHolterhoff, Charles R 353650Agent - Life2/29/19963/14/2014
InactiveHolterhoff, Charles R 353650Agent - Variable Life and Variable Annuities5/2/20034/18/2013
InactiveHomola, Gerald John 554227Agent - Health5/2/20031/4/2005
InactiveHomola, Gerald John 554227Agent - Life5/2/20031/4/2005
InactiveHomola, Gerald John 554227Agent - Variable Life and Variable Annuities5/2/20031/4/2005
InactiveKeating, William M 381393Agent - Health6/20/200210/31/2004
InactiveKeating, William M 381393Agent - Life6/20/200210/31/2004
InactiveKeating, William M 381393Agent - Variable Life and Variable Annuities5/2/20033/19/2004
InactiveKelly, Sharon Anne 385134Agent - Health6/20/20024/23/2004
InactiveKelly, Sharon Anne 385134Agent - Life6/20/20024/23/2004
InactiveKelly, Sharon Anne 385134Agent - Variable Life and Variable Annuities6/20/20024/9/2004
InactiveKerns, Stephen R 386995Agent - Health6/20/20028/3/2005
InactiveKerns, Stephen R 386995Agent - Life6/20/20028/3/2005
InactiveKerns, Stephen R 386995Agent - Variable Life and Variable Annuities6/20/20024/15/2005
InactiveKolter, Carolyn J 553768Agent - Health5/2/20031/12/2004
InactiveKolter, Carolyn J 553768Agent - Life5/2/20031/12/2004
InactiveKolter, Carolyn J 553768Agent - Variable Life and Variable Annuities5/2/20031/12/2004
InactiveLozano, Nicolas B 306827Agent - Health6/20/20027/1/2003
InactiveLozano, Nicolas B 306827Agent - Life6/20/20027/1/2003
InactiveLozano, Nicolas B 306827Agent - Variable Life and Variable Annuities6/20/20025/19/2003
InactiveManes, Patrick Stephen 554531Agent - Health5/2/20033/31/2004
InactiveManes, Patrick Stephen 554531Agent - Life5/2/20033/31/2004
InactiveManes, Patrick Stephen 554531Agent - Variable Life and Variable Annuities5/2/20033/31/2004
InactiveMartin, Robert H 504812Agent - Health5/2/20031/31/2005
InactiveMartin, Robert H 504812Agent - Life5/2/20031/31/2005
InactiveMcCain, Katherine D 354523Agent - Health6/20/20025/2/2003
InactiveMcCain, Katherine D 354523Agent - Life6/20/20025/2/2003
InactiveMcCray, Patrick Terry 386199Agent - Variable Life and Variable Annuities9/28/200112/29/2003
InactiveMontgomery, Jim Steiner 553945Agent - Health5/2/20032/16/2007
InactiveMontgomery, Jim Steiner 553945Agent - Life5/2/20032/16/2007
InactiveMontgomery, Jim Steiner 553945Agent - Variable Life and Variable Annuities5/2/20032/16/2007
InactiveReed, Thomas Orton 502837Agent - Health6/20/20029/30/2007
InactiveReed, Thomas Orton 502837Agent - Life6/20/20029/30/2007
InactiveReed, Thomas Orton 502837Agent - Variable Life and Variable Annuities5/2/20034/15/2005
InactiveSayers, John P 393623Agent - Health6/20/20021/12/2004
InactiveSayers, John P 393623Agent - Life6/20/20021/12/2004
InactiveSayers, John P 393623Agent - Variable Life and Variable Annuities6/20/20021/12/2004
InactiveScott, Philip Steven 554082Agent - Health5/2/20032/16/2007
InactiveScott, Philip Steven 554082Agent - Life5/2/20032/16/2007
InactiveScott, Philip Steven 554082Agent - Variable Life and Variable Annuities5/2/20037/26/2005
InactiveSeltzer, Michael K 509837Agent - Health6/20/200211/20/2002
InactiveSeltzer, Michael K 509837Agent - Life6/20/200211/20/2002
InactiveShrieve, Michael D 383629Agent - Health6/20/20022/16/2007
InactiveShrieve, Michael D 383629Agent - Life6/20/20022/16/2007
InactiveShrieve, Michael D 383629Agent - Variable Life and Variable Annuities5/2/20032/16/2007
InactiveSpano, Joseph Howard 582012Agent - Health1/31/200510/4/2009
InactiveSpano, Joseph Howard 582012Agent - Life1/31/20053/31/2017
InactiveSpano, Joseph Howard 582012Agent - Variable Life and Variable Annuities1/31/20053/31/2017
ActiveSparr, Susan K 336660Agent - Health2/29/1996 
ActiveSparr, Susan K 336660Agent - Life2/29/1996 
ActiveSparr, Susan K 336660Agent - Variable Life and Variable Annuities5/2/2003 
InactiveSutton, Edward G 573271Agent - Health1/12/20045/31/2009
InactiveSutton, Edward G 573271Agent - Life1/12/20045/31/2009
InactiveSutton, Edward G 573271Agent - Variable Life and Variable Annuities1/12/200412/29/2006
InactiveThomas, James R 335479Agent - Health6/20/20025/1/2003
InactiveThomas, James R 335479Agent - Life6/20/20024/28/2003
InactiveThomas, James R 335479Agent - Variable Life and Variable Annuities6/20/20021/12/2004
InactiveVrettos, Ria Michelle 554228Agent - Health5/2/20032/5/2009
InactiveVrettos, Ria Michelle 554228Agent - Life5/2/20032/5/2009
InactiveVrettos, Ria Michelle 554228Agent - Variable Life and Variable Annuities5/2/20034/15/2005
InactiveWood, Edward R 588117Agent - Health5/17/20041/12/2007
InactiveWood, Edward R 588117Agent - Life5/17/20041/12/2007
InactiveWood, Edward R 588117Agent - Variable Life and Variable Annuities5/17/20041/12/2007

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