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DEPARTMENT OF INSURANCE
Affiliations
Name
Clay, Jerrell Glen
DOIID
504664
NAIC NPN
565419
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
9/10/2001
7/31/2019
Inactive
Non Resident
Agent
Life
6/19/2000
7/31/2019
Inactive
Non Resident
Agent
Health
6/19/2000
7/31/2019
Inactive
Non Resident
Life Settlement Broker
Not Applicable
5/9/2007
8/5/2011
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
4/9/2013
7/31/2019
Inactive
Aetna Life Insurance Company
301140
Agent - Health
4/9/2013
7/31/2019
Inactive
Aetna Life Insurance Company
301140
Agent - Life
4/9/2013
7/31/2019
Inactive
American General Life Insurance Company
301585
Agent - Health
3/31/2003
10/25/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
3/31/2003
10/25/2012
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
8/13/2001
7/2/2002
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
8/13/2001
7/2/2002
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
4/18/2006
7/12/2010
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
4/18/2006
7/12/2010
Inactive
Athene Annuity and Life Company
301893
Agent - Health
10/1/2008
2/24/2012
Inactive
Athene Annuity and Life Company
301893
Agent - Life
9/23/2008
1/4/2016
Inactive
Aviva Life Insurance Company
301615
Agent - Health
8/31/2006
10/1/2008
Inactive
Aviva Life Insurance Company
301615
Agent - Life
8/31/2006
10/1/2008
Inactive
Banner Life Insurance Company
301696
Agent - Life
1/18/2013
7/31/2019
Inactive
C.M. Life Insurance Company
301335
Agent - Health
4/9/2002
3/22/2011
Inactive
C.M. Life Insurance Company
301335
Agent - Life
4/9/2002
3/22/2011
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
4/9/2002
3/22/2011
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
9/17/2001
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
9/19/2001
4/1/2007
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
3/19/2002
12/30/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
3/19/2002
12/30/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
3/19/2002
12/30/2005
Inactive
Conseco Insurance Company
301202
Agent - Life
12/14/2001
4/21/2003
Inactive
DentiCare, Inc.
300655
Agent - Health
10/17/2002
11/1/2005
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Health
9/27/2011
7/31/2019
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
9/27/2011
7/31/2019
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
9/27/2011
7/31/2019
Inactive
First Colony Life Insurance Company
301179
Agent - Health
10/12/2000
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
10/12/2000
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
5/29/2002
12/23/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
5/29/2002
12/23/2008
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
5/20/2003
12/23/2014
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
5/20/2003
12/23/2014
Inactive
General American Life Insurance Company
300280
Agent - Health
9/10/2001
11/19/2009
Inactive
General American Life Insurance Company
300280
Agent - Life
9/10/2001
11/19/2009
Inactive
Genworth Life Insurance Company
300623
Agent - Health
8/21/2004
12/11/2018
Inactive
Genworth Life Insurance Company
300623
Agent - Life
8/21/2004
12/11/2018
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/1/2007
12/14/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
12/14/2016
Inactive
Integrity Life Insurance Company
301687
Agent - Health
9/26/2002
5/14/2007
Inactive
Integrity Life Insurance Company
301687
Agent - Life
12/6/2012
7/31/2019
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
12/6/2012
7/31/2019
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
6/4/2004
6/8/2006
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
6/11/2001
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
6/11/2001
7/2/2007
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
12/18/2002
7/19/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
12/18/2002
7/19/2008
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
11/9/2001
6/8/2011
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
11/9/2001
6/8/2011
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
7/27/2004
12/11/2006
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Health
2/23/2015
7/31/2019
Inactive
Lafayette Life Insurance Company (The)
301039
Agent - Life
2/23/2015
7/31/2019
Inactive
Liberty Life Insurance Company
301542
Agent - Health
9/29/2004
6/30/2006
Inactive
Liberty Life Insurance Company
301542
Agent - Life
9/29/2004
6/30/2006
Inactive
Life Insurance Company of the Southwest
301867
Agent - Health
10/25/2011
4/26/2018
Inactive
Life Insurance Company of the Southwest
301867
Agent - Life
10/25/2011
4/26/2018
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
5/7/2003
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
5/7/2003
7/14/2014
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
5/7/2003
7/14/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
3/20/2003
8/29/2019
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
3/20/2003
8/29/2019
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
3/20/2003
8/29/2019
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Life
11/9/2001
12/31/2001
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Variable Life and Variable Annuities
11/9/2001
12/31/2001
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
4/9/2002
3/22/2011
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
4/9/2002
3/22/2011
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
4/9/2002
3/22/2011
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
11/10/2004
11/19/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
11/10/2004
11/19/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
10/1/2001
11/27/2009
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
10/1/2001
11/27/2009
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
4/13/2012
7/31/2019
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
4/13/2012
7/31/2019
Inactive
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
4/13/2012
7/31/2019
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
4/28/2011
7/31/2019
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
3/22/2002
12/10/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
3/22/2002
12/10/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
3/22/2002
12/10/2012
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
3/29/2001
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
3/29/2001
3/31/2003
Inactive
Omaha Insurance Company
751908
Agent - Health
12/12/2012
8/8/2018
Inactive
Pacific Life Insurance Company
301848
Agent - Life
3/18/2002
4/8/2010
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
3/18/2002
4/8/2010
Inactive
Pan-American Assurance Company
301533
Agent - Health
6/24/2009
8/25/2011
Inactive
Pan-American Assurance Company
301533
Agent - Life
6/24/2009
8/25/2011
Inactive
Pan-American Assurance Company
301533
Agent - Variable Life and Variable Annuities
4/7/2003
8/25/2011
Inactive
Pan-American Life Insurance Company
301530
Agent - Health
6/24/2009
8/25/2011
Inactive
Pan-American Life Insurance Company
301530
Agent - Life
6/24/2009
8/25/2011
Inactive
Physicians Life Insurance Company
300924
Agent - Life
7/17/2003
12/8/2006
Inactive
Physicians Mutual Insurance Company
301084
Agent - Health
7/17/2003
12/13/2006
Inactive
Protective Life Insurance Company
300638
Agent - Health
6/19/2000
6/3/2014
Inactive
Protective Life Insurance Company
300638
Agent - Life
6/19/2000
6/3/2014
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
9/10/2001
6/3/2014
Inactive
Revol One Insurance Company
300681
Agent - Life
5/19/2011
5/31/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
2/1/2002
12/13/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
2/1/2002
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
2/1/2002
9/29/2012
Inactive
Southland Life Insurance Company
301175
Agent - Health
9/14/2000
10/1/2004
Inactive
Southland Life Insurance Company
301175
Agent - Life
9/14/2000
10/1/2004
Inactive
Starmount Life Insurance Company
628031
Agent - Health
5/14/2012
7/31/2019
Inactive
Starmount Life Insurance Company
628031
Agent - Life
5/14/2012
7/31/2019
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
8/1/2003
12/13/2010
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
8/1/2003
12/13/2010
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
8/11/2004
8/9/2016
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
8/11/2004
8/9/2016
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
8/11/2004
8/9/2016
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
8/11/2004
8/9/2016
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
8/11/2004
8/9/2016
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
8/11/2004
8/9/2016
Inactive
Time Insurance Company
300683
Agent - Health
5/21/2001
3/31/2011
Inactive
Time Insurance Company
300683
Agent - Life
5/21/2001
3/31/2011
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
9/30/2005
9/24/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
9/30/2005
9/24/2008
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
5/27/2003
5/5/2006
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
5/27/2003
5/5/2006
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
12/13/2000
9/5/2007
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
12/13/2000
9/5/2007
Inactive
Union Security Insurance Company
301844
Agent - Health
2/7/2002
3/13/2013
Inactive
Union Security Insurance Company
301844
Agent - Life
2/7/2002
3/13/2013
Inactive
United World Life Insurance Company
300532
Agent - Health
8/6/2004
12/15/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
2/23/2007
7/31/2019
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
2/23/2007
7/31/2019
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
3/29/2002
12/14/2010
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
3/29/2002
12/14/2010
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
3/29/2002
12/14/2010
Inactive
Washington National Insurance Company
300587
Agent - Health
12/1/2010
11/14/2016
Inactive
Washington National Insurance Company
300587
Agent - Life
12/1/2010
11/14/2016
Inactive
Western National Life Insurance Company
300461
Agent - Life
7/16/2001
5/21/2008
Inactive
Wilco Life Insurance Company
300122
Agent - Life
10/10/2002
2/17/2009
Inactive
Wilton Reassurance Life Company of New York
300163
Agent - Life
6/4/2004
6/8/2006
Inactive
300277
Agent - Life
12/18/2000
1/1/2007
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
3 Mark Equities, Inc.
549689
Agent - Life
3/24/2003
3/31/2019
Inactive
3 Mark Equities, Inc.
549689
Agent - Variable Life and Variable Annuities
3/24/2003
3/31/2019
Inactive
3 Mark Financial Texas, Inc
513309
Agent - Life
8/11/2000
7/31/2019
Inactive
3 Mark Financial Texas, Inc
513309
Agent - Health
8/11/2000
7/31/2019
Inactive
3 Mark Financial Texas, Inc
513309
Life Settlement Broker - Not Applicable
5/9/2007
8/5/2011
Inactive
Concourse Financial Group Securities, Inc.
554596
Agent - Variable Life and Variable Annuities
6/18/2007
1/5/2015
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