DEPARTMENT OF INSURANCE
Affiliations
NameUnited Brokerage Services, Inc.DOIID502863NAIC NPN3007403
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities5/31/2001 3/31/2026
ActiveNon ResidentAgentLife2/3/2000 3/31/2026
ActiveNon ResidentAgentHealth2/3/2000 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
ActiveAllianz Life Insurance Company of North America301791Agent - Health11/4/2011 
ActiveAllianz Life Insurance Company of North America301791Agent - Life11/4/2011 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities11/3/2009 
ActiveAmerican General Life Insurance Company301585Agent - Life12/31/2012 
InactiveAmerican National Insurance Company301861Agent - Health8/20/20156/14/2021
ActiveAmerican National Insurance Company301861Agent - Life8/20/2015 
ActiveBanner Life Insurance Company301696Agent - Life2/8/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
ActiveC.M. Life Insurance Company301335Agent - Health5/17/2006 
ActiveC.M. Life Insurance Company301335Agent - Life5/17/2006 
ActiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities5/17/2006 
ActiveCMFG Life Insurance Company300929Agent - Health6/11/2019 
ActiveCMFG Life Insurance Company300929Agent - Life6/11/2019 
ActiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities6/11/2019 
ActiveDelaware Life Insurance Company301256Agent - Life2/22/2012 
ActiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities2/22/2012 
ActiveEagle Life Insurance Company701261Agent - Life1/23/2020 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health2/8/200512/20/2010
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life9/21/2020 
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health10/15/200312/16/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life10/15/200312/16/2008
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life2/18/2000 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities5/31/2001 
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life7/30/20011/6/2005
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities7/30/20011/6/2005
ActiveIntegrity Life Insurance Company301687Agent - Life1/14/2005 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities1/14/2005 
InactiveJackson National Life Insurance Company300486Agent - Health3/17/200012/12/2014
ActiveJackson National Life Insurance Company300486Agent - Life3/17/2000 
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health1/6/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life1/6/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities1/6/20057/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health1/6/20054/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life1/6/20054/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities1/6/20054/2/2007
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health10/21/2008 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life10/21/2008 
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health3/8/20002/24/2009
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life3/8/20002/24/2009
InactiveLincoln Life Assurance Company of Boston301915Agent - Life6/19/201510/29/2019
ActiveLincoln National Life Insurance Company (The)301382Agent - Health7/25/2000 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life7/25/2000 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/22/2007 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Health5/17/2006 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Life5/17/2006 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities5/17/2006 
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/13/200611/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities11/13/200611/14/2014
ActiveNationwide Life Insurance Company300495Agent - Health2/24/2000 
ActiveNationwide Life Insurance Company300495Agent - Life2/24/2000 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities5/31/2001 
DeniedNationwide Life and Annuity Insurance Company300714Agent - Health  
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life12/17/2001 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities12/17/2001 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/21/2003 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities1/21/2003 
ActiveOceanview Life and Annuity Company301868Agent - Life8/10/2020 
ActivePacific Life Insurance Company301848Agent - Life8/5/2004 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/5/2004 
ActiveProtective Life Insurance Company300638Agent - Health8/30/2005 
ActiveProtective Life Insurance Company300638Agent - Life8/30/2005 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities8/30/2005 
ActivePruco Life Insurance Company300954Agent - Life10/3/2005 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities10/3/2005 
InactiveStandard Insurance Company300185Agent - Health7/2/201612/5/2022
InactiveStandard Insurance Company300185Agent - Life7/2/201612/5/2022
InactiveStandard Insurance Company300185Agent - Variable Life and Variable Annuities7/2/201612/5/2022
InactiveState Life Insurance Company301497Agent - Health9/21/20104/17/2020
InactiveState Life Insurance Company301497Agent - Life9/21/20104/17/2020
ActiveTalcott Resolution Life Insurance Company301759Agent - Health2/3/2000 
ActiveTalcott Resolution Life Insurance Company301759Agent - Life2/3/2000 
ActiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities5/31/2001 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/23/2011 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/23/2011 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities5/31/2001 
InactiveTransamerica Life Insurance Company300571Agent - Life4/11/200710/23/2012
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/11/200710/23/2012
InactiveVantis Life Insurance Company572176Agent - Life2/1/20129/1/2016
InactiveVenerable Insurance and Annuity Company301006Agent - Life11/2/20065/18/2018
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities11/2/20065/18/2018
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life8/5/200312/18/2015
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities8/5/200312/18/2015
InactiveWestern National Life Insurance Company300461Agent - Life9/15/201112/31/2012
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBrewster, Robert Jerry 513031Agent - Health1/3/2006 
ActiveBrewster, Robert Jerry 513031Agent - Life1/3/2006 
ActiveBrewster, Robert Jerry 513031Agent - Variable Life and Variable Annuities1/3/2006 
DeniedLerose, Thomas J 336298Agent - Health  
DeniedLerose, Thomas J 336298Agent - Life  
InactiveRobinette, Anthony Edward 313299Agent - Health2/3/20002/16/2007
InactiveRobinette, Anthony Edward 313299Agent - Life2/3/20002/16/2007
InactiveRobinette, Anthony Edward 313299Agent - Variable Life and Variable Annuities5/31/20012/16/2007

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