DEPARTMENT OF INSURANCE
Affiliations
NameClay, Jerrell GlenDOIID504664NAIC NPN565419
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities9/10/20017/31/2019 
InactiveNon ResidentAgentLife6/19/20007/31/2019 
InactiveNon ResidentAgentHealth6/19/20007/31/2019 
InactiveNon ResidentLife Settlement BrokerNot Applicable5/9/20078/5/2011 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health4/9/20137/31/2019
InactiveAetna Life Insurance Company301140Agent - Health4/9/20137/31/2019
InactiveAetna Life Insurance Company301140Agent - Life4/9/20137/31/2019
InactiveAmerican General Life Insurance Company301585Agent - Health3/31/200310/25/2012
InactiveAmerican General Life Insurance Company301585Agent - Life3/31/200310/25/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health8/13/20017/2/2002
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life8/13/20017/2/2002
InactiveAthene Annuity & Life Assurance Company301798Agent - Health4/18/20067/12/2010
InactiveAthene Annuity & Life Assurance Company301798Agent - Life4/18/20067/12/2010
InactiveAthene Annuity and Life Company301893Agent - Health10/1/20082/24/2012
InactiveAthene Annuity and Life Company301893Agent - Life9/23/20081/4/2016
InactiveAviva Life Insurance Company301615Agent - Health8/31/200610/1/2008
InactiveAviva Life Insurance Company301615Agent - Life8/31/200610/1/2008
InactiveBanner Life Insurance Company301696Agent - Life1/18/20137/31/2019
InactiveC.M. Life Insurance Company301335Agent - Health4/9/20023/22/2011
InactiveC.M. Life Insurance Company301335Agent - Life4/9/20023/22/2011
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities4/9/20023/22/2011
InactiveChase Insurance Life and Annuity Company300518Agent - Health9/17/20014/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life9/19/20014/1/2007
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health3/19/200212/30/2005
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life3/19/200212/30/2005
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Variable Life and Variable Annuities3/19/200212/30/2005
InactiveConseco Insurance Company301202Agent - Life12/14/20014/21/2003
InactiveDentiCare, Inc.300655Agent - Health10/17/200211/1/2005
InactiveEquitable Financial Life Insurance Company300808Agent - Health9/27/20117/31/2019
InactiveEquitable Financial Life Insurance Company300808Agent - Life9/27/20117/31/2019
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities9/27/20117/31/2019
InactiveFirst Colony Life Insurance Company301179Agent - Health10/12/20001/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life10/12/20001/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health5/29/200212/23/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life5/29/200212/23/2008
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life5/20/200312/23/2014
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities5/20/200312/23/2014
InactiveGeneral American Life Insurance Company300280Agent - Health9/10/200111/19/2009
InactiveGeneral American Life Insurance Company300280Agent - Life9/10/200111/19/2009
InactiveGenworth Life Insurance Company300623Agent - Health8/21/200412/11/2018
InactiveGenworth Life Insurance Company300623Agent - Life8/21/200412/11/2018
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200712/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/14/2016
InactiveIntegrity Life Insurance Company301687Agent - Health9/26/20025/14/2007
InactiveIntegrity Life Insurance Company301687Agent - Life12/6/20127/31/2019
InactiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities12/6/20127/31/2019
InactiveJefferson National Life Insurance Company300258Agent - Life6/4/20046/8/2006
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health6/11/20017/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life6/11/20017/2/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Health12/18/20027/19/2008
InactiveJohn Hancock Life Insurance Company300821Agent - Life12/18/20027/19/2008
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life11/9/20016/8/2011
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities11/9/20016/8/2011
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life7/27/200412/11/2006
InactiveLafayette Life Insurance Company (The)301039Agent - Health2/23/20157/31/2019
InactiveLafayette Life Insurance Company (The)301039Agent - Life2/23/20157/31/2019
InactiveLiberty Life Insurance Company301542Agent - Health9/29/20046/30/2006
InactiveLiberty Life Insurance Company301542Agent - Life9/29/20046/30/2006
InactiveLife Insurance Company of the Southwest301867Agent - Health10/25/20114/26/2018
InactiveLife Insurance Company of the Southwest301867Agent - Life10/25/20114/26/2018
InactiveLincoln Benefit Life Company301110Agent - Health5/7/20037/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life5/7/20037/14/2014
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities5/7/20037/14/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/20/20038/29/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/20/20038/29/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/20/20038/29/2019
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life11/9/200112/31/2001
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Variable Life and Variable Annuities11/9/200112/31/2001
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health4/9/20023/22/2011
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life4/9/20023/22/2011
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities4/9/20023/22/2011
InactiveMetLife Investors USA Insurance Company300845Agent - Health11/10/200411/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/10/200411/19/2009
InactiveMetropolitan Life Insurance Company301948Agent - Health10/1/200111/27/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life10/1/200111/27/2009
InactiveMinnesota Life Insurance Company300488Agent - Health4/13/20127/31/2019
InactiveMinnesota Life Insurance Company300488Agent - Life4/13/20127/31/2019
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities4/13/20127/31/2019
InactiveMutual of Omaha Insurance Company301012Agent - Health4/28/20117/31/2019
InactiveNationwide Life Insurance Company300495Agent - Health3/22/200212/10/2012
InactiveNationwide Life Insurance Company300495Agent - Life3/22/200212/10/2012
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities3/22/200212/10/2012
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health3/29/20013/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life3/29/20013/31/2003
InactiveOmaha Insurance Company751908Agent - Health12/12/20128/8/2018
InactivePacific Life Insurance Company301848Agent - Life3/18/20024/8/2010
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/18/20024/8/2010
InactivePan-American Assurance Company301533Agent - Health6/24/20098/25/2011
InactivePan-American Assurance Company301533Agent - Life6/24/20098/25/2011
InactivePan-American Assurance Company301533Agent - Variable Life and Variable Annuities4/7/20038/25/2011
InactivePan-American Life Insurance Company301530Agent - Health6/24/20098/25/2011
InactivePan-American Life Insurance Company301530Agent - Life6/24/20098/25/2011
InactivePhysicians Life Insurance Company300924Agent - Life7/17/200312/8/2006
InactivePhysicians Mutual Insurance Company301084Agent - Health7/17/200312/13/2006
InactiveProtective Life Insurance Company300638Agent - Health6/19/20006/3/2014
InactiveProtective Life Insurance Company300638Agent - Life6/19/20006/3/2014
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities9/10/20016/3/2014
InactiveRevol One Insurance Company300681Agent - Life5/19/20115/31/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Health2/1/200212/13/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life2/1/20029/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities2/1/20029/29/2012
InactiveSouthland Life Insurance Company301175Agent - Health9/14/200010/1/2004
InactiveSouthland Life Insurance Company301175Agent - Life9/14/200010/1/2004
InactiveStarmount Life Insurance Company628031Agent - Health5/14/20127/31/2019
InactiveStarmount Life Insurance Company628031Agent - Life5/14/20127/31/2019
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life8/1/200312/13/2010
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities8/1/200312/13/2010
InactiveTalcott Resolution Life Insurance Company301759Agent - Health8/11/20048/9/2016
InactiveTalcott Resolution Life Insurance Company301759Agent - Life8/11/20048/9/2016
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities8/11/20048/9/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health8/11/20048/9/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life8/11/20048/9/2016
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities8/11/20048/9/2016
InactiveTime Insurance Company300683Agent - Health5/21/20013/31/2011
InactiveTime Insurance Company300683Agent - Life5/21/20013/31/2011
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health9/30/20059/24/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life9/30/20059/24/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Health5/27/20035/5/2006
InactiveTransamerica Premier Life Insurance Company300558Agent - Life5/27/20035/5/2006
InactiveU.S. Financial Life Insurance Company301812Agent - Health12/13/20009/5/2007
InactiveU.S. Financial Life Insurance Company301812Agent - Life12/13/20009/5/2007
InactiveUnion Security Insurance Company301844Agent - Health2/7/20023/13/2013
InactiveUnion Security Insurance Company301844Agent - Life2/7/20023/13/2013
InactiveUnited World Life Insurance Company300532Agent - Health8/6/200412/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health2/23/20077/31/2019
InactiveUnited of Omaha Life Insurance Company300156Agent - Life2/23/20077/31/2019
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health3/29/200212/14/2010
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life3/29/200212/14/2010
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities3/29/200212/14/2010
InactiveWashington National Insurance Company300587Agent - Health12/1/201011/14/2016
InactiveWashington National Insurance Company300587Agent - Life12/1/201011/14/2016
InactiveWestern National Life Insurance Company300461Agent - Life7/16/20015/21/2008
InactiveWilco Life Insurance Company300122Agent - Life10/10/20022/17/2009
InactiveWilton Reassurance Life Company of New York300163Agent - Life6/4/20046/8/2006
Inactive300277Agent - Life12/18/20001/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive3 Mark Equities, Inc.549689Agent - Life3/24/20033/31/2019
Inactive3 Mark Equities, Inc.549689Agent - Variable Life and Variable Annuities3/24/20033/31/2019
Inactive3 Mark Financial Texas, Inc513309Agent - Life8/11/20007/31/2019
Inactive3 Mark Financial Texas, Inc513309Agent - Health8/11/20007/31/2019
Inactive3 Mark Financial Texas, Inc513309Life Settlement Broker - Not Applicable5/9/20078/5/2011
InactiveConcourse Financial Group Securities, Inc.554596Agent - Variable Life and Variable Annuities6/18/20071/5/2015

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