DEPARTMENT OF INSURANCE
Affiliations
NameWallace, Jeremy NathanDOIID509245NAIC NPN7213573
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife5/31/2001 12/31/2024
ActiveResidentAgentVariable Life and Variable Annuities1/10/2002 12/31/2024
ActiveResidentAgentHealth10/25/2002 12/31/2024
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202412/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health8/30/201512/23/2019
InactiveAmerican General Life Insurance Company301585Agent - Life8/30/201512/23/2019
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities8/30/201512/23/2019
InactiveBrighthouse Life Insurance Company301829Agent - Health12/7/200711/17/2008
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/20146/12/2024
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/20146/12/2024
InactiveDelaware Life Insurance Company301256Agent - Life4/18/200212/13/2006
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities4/18/200212/13/2006
InactiveEquitable Financial Life Insurance Company300808Agent - Life1/28/20042/17/2011
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities1/28/20042/17/2011
InactiveEverlake Life Insurance Company300873Agent - Life7/1/200311/17/2008
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities7/1/200311/17/2008
InactiveFirst Colony Life Insurance Company301179Agent - Life1/11/20051/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health3/17/201012/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life3/17/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health3/17/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life3/17/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities3/17/201012/7/2012
InactiveJackson National Life Insurance Company300486Agent - Life10/24/20132/24/2017
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/24/20132/24/2017
InactiveJohn Hancock Life Insurance Company300821Agent - Health10/23/200712/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health12/29/201511/19/2017
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life12/29/201511/19/2017
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities1/21/201611/19/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/22/201710/30/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/22/201710/30/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/22/201710/30/2018
InactiveMetLife Investors Insurance Company301872Agent - Life12/15/200811/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities12/15/200811/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/28/200211/18/2008
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities7/15/200211/18/2008
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health10/8/200312/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life10/8/200312/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities10/8/200312/7/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health9/8/200611/18/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life9/8/200611/18/2008
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities9/8/200611/18/2008
InactiveMutual of Omaha Insurance Company301012Agent - Health6/23/202211/15/2022
InactiveNassau Life Insurance Company301406Agent - Life8/19/200212/14/2004
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities8/19/200212/14/2004
InactiveNationwide Life Insurance Company300495Agent - Health4/1/200312/18/2008
InactiveNationwide Life Insurance Company300495Agent - Life4/1/200312/18/2008
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/1/200312/18/2008
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health1/9/2023 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life1/9/2023 
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life4/27/201012/24/2013
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities4/27/201012/24/2013
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health10/25/20023/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life1/3/20033/31/2003
InactiveOmaha Insurance Company751908Agent - Health5/11/20163/22/2017
InactivePHL Variable Insurance Company300525Agent - Life10/3/200712/29/2010
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities10/3/200712/29/2010
InactivePacific Life Insurance Company301848Agent - Life10/4/20074/5/2010
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities10/4/20074/5/2010
InactiveProtective Life Insurance Company300638Agent - Health3/31/200911/23/2011
InactiveProtective Life Insurance Company300638Agent - Life3/31/200911/23/2011
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities3/31/200911/23/2011
InactivePruco Life Insurance Company300954Agent - Health5/13/20102/23/2017
InactivePruco Life Insurance Company300954Agent - Life5/13/20102/23/2017
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/13/20102/23/2017
InactiveReliaStar Life Insurance Company301712Agent - Health5/5/20112/3/2017
InactiveReliaStar Life Insurance Company301712Agent - Life5/5/20112/3/2017
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities5/5/20112/3/2017
InactiveSecurity Life of Denver Insurance Company300648Agent - Health5/5/20119/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life5/5/20119/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities5/5/20119/29/2012
InactiveSun Life Assurance Company of Canada301811Agent - Life10/3/200711/17/2008
InactiveSymetra Life Insurance Company301691Agent - Health10/15/202011/15/2023
InactiveSymetra Life Insurance Company301691Agent - Life10/15/202011/15/2023
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities10/15/202011/15/2023
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/23/200911/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/23/200911/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities3/23/200911/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/23/200912/21/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/23/200912/21/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/23/200912/21/2015
InactiveTransamerica Advisors Life Insurance Company300539Agent - Health10/25/200211/13/2008
InactiveTransamerica Advisors Life Insurance Company300539Agent - Life4/11/20113/29/2017
InactiveTransamerica Advisors Life Insurance Company300539Agent - Variable Life and Variable Annuities4/11/20113/29/2017
InactiveTransamerica Financial Life Insurance Company301288Agent - Life10/8/20073/16/2009
InactiveTransamerica Financial Life Insurance Company301288Agent - Variable Life and Variable Annuities10/8/20073/16/2009
InactiveTransamerica Life Insurance Company300571Agent - Life4/1/20113/19/2014
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/1/20113/19/2014
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life12/22/200610/1/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/11/20163/22/2017
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/11/20163/22/2017
InactiveUnited of Omaha Life Insurance Company300156Agent - Variable Life and Variable Annuities5/11/20163/22/2017
InactiveVenerable Insurance and Annuity Company301006Agent - Life11/20/200812/22/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities11/20/200812/22/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life7/5/200112/1/2008
InactiveMerrill Lynch Life Agency Inc.400527Agent - Health6/18/200312/1/2008
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities6/18/200312/1/2008
ActiveRaymond James Insurance Group, Inc.398342Agent - Life2/23/2017 
InactiveRaymond James Insurance Group, Inc.398342Agent - Health2/23/201712/23/2019
ActiveUbs Financial Services Ins Agency Inc399373Agent - Life6/9/2010 
InactiveUbs Financial Services Ins Agency Inc399373Agent - Health6/9/201012/23/2019
InactiveUbs Financial Services Ins Agency Inc399373Agent - Variable Life and Variable Annuities6/9/20106/12/2024

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