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DEPARTMENT OF INSURANCE
Affiliations
Name
Wallace, Jeremy Nathan
DOIID
509245
NAIC NPN
7213573
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
5/31/2001
12/31/2026
Active
Resident
Agent
Variable Life and Variable Annuities
1/10/2002
12/31/2026
Active
Resident
Agent
Health
10/25/2002
12/31/2026
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American General Life Insurance Company
301585
Agent - Health
8/30/2015
12/23/2019
Inactive
American General Life Insurance Company
301585
Agent - Life
8/30/2015
12/23/2019
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
8/30/2015
12/23/2019
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
12/7/2007
11/17/2008
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
6/12/2024
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
6/12/2024
Inactive
Delaware Life Insurance Company
301256
Agent - Life
4/18/2002
12/13/2006
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
4/18/2002
12/13/2006
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
1/28/2004
2/17/2011
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
1/28/2004
2/17/2011
Inactive
Everlake Life Insurance Company
300873
Agent - Life
7/1/2003
11/17/2008
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
7/1/2003
11/17/2008
Inactive
First Colony Life Insurance Company
301179
Agent - Life
1/11/2005
1/1/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Health
3/17/2010
12/7/2012
Inactive
Genworth Life Insurance Company
300623
Agent - Life
3/17/2010
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
3/17/2010
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
3/17/2010
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
3/17/2010
12/7/2012
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
10/24/2013
2/24/2017
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
10/24/2013
2/24/2017
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
10/23/2007
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
12/29/2015
11/19/2017
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
12/29/2015
11/19/2017
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
1/21/2016
11/19/2017
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
3/22/2017
10/30/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
3/22/2017
10/30/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
3/22/2017
10/30/2018
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
12/15/2008
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
12/15/2008
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
1/28/2002
11/18/2008
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
7/15/2002
11/18/2008
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Health
10/8/2003
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
10/8/2003
12/7/2007
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Variable Life and Variable Annuities
10/8/2003
12/7/2007
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
9/8/2006
11/18/2008
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
9/8/2006
11/18/2008
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
9/8/2006
11/18/2008
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
6/23/2022
11/15/2022
Inactive
Nassau Life Insurance Company
301406
Agent - Life
8/19/2002
12/14/2004
Inactive
Nassau Life Insurance Company
301406
Agent - Variable Life and Variable Annuities
8/19/2002
12/14/2004
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
4/1/2003
12/18/2008
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
4/1/2003
12/18/2008
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
4/1/2003
12/18/2008
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
1/9/2023
12/18/2024
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
1/9/2023
12/18/2024
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
4/27/2010
12/24/2013
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
4/27/2010
12/24/2013
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Health
10/25/2002
3/31/2003
Inactive
Old Line Life Insurance Company of America (The)
301709
Agent - Life
1/3/2003
3/31/2003
Inactive
Omaha Insurance Company
751908
Agent - Health
5/11/2016
3/22/2017
Inactive
PHL Variable Insurance Company
300525
Agent - Life
10/3/2007
12/29/2010
Inactive
PHL Variable Insurance Company
300525
Agent - Variable Life and Variable Annuities
10/3/2007
12/29/2010
Inactive
Pacific Life Insurance Company
301848
Agent - Life
10/4/2007
4/5/2010
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
10/4/2007
4/5/2010
Inactive
Protective Life Insurance Company
300638
Agent - Health
3/31/2009
11/23/2011
Inactive
Protective Life Insurance Company
300638
Agent - Life
3/31/2009
11/23/2011
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
3/31/2009
11/23/2011
Inactive
Pruco Life Insurance Company
300954
Agent - Health
5/13/2010
2/23/2017
Active
Pruco Life Insurance Company
300954
Agent - Life
9/16/2024
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
5/13/2010
2/23/2017
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
5/5/2011
2/3/2017
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
5/5/2011
2/3/2017
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
5/5/2011
2/3/2017
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
5/5/2011
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
5/5/2011
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
5/5/2011
9/29/2012
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
10/3/2007
11/17/2008
Inactive
Symetra Life Insurance Company
301691
Agent - Health
10/15/2020
11/15/2023
Inactive
Symetra Life Insurance Company
301691
Agent - Life
10/15/2020
11/15/2023
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
10/15/2020
11/15/2023
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
3/23/2009
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
3/23/2009
11/16/2011
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
3/23/2009
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
3/23/2009
12/21/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
3/23/2009
12/21/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
3/23/2009
12/21/2015
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Health
10/25/2002
11/13/2008
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Life
4/11/2011
3/29/2017
Inactive
Transamerica Advisors Life Insurance Company
300539
Agent - Variable Life and Variable Annuities
4/11/2011
3/29/2017
Inactive
Transamerica Financial Life Insurance Company
301288
Agent - Life
10/8/2007
3/16/2009
Inactive
Transamerica Financial Life Insurance Company
301288
Agent - Variable Life and Variable Annuities
10/8/2007
3/16/2009
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
4/1/2011
3/19/2014
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
4/1/2011
3/19/2014
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
12/22/2006
10/1/2008
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
5/11/2016
3/22/2017
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
5/11/2016
3/22/2017
Inactive
United of Omaha Life Insurance Company
300156
Agent - Variable Life and Variable Annuities
5/11/2016
3/22/2017
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
11/20/2008
12/22/2009
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
11/20/2008
12/22/2009
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Life
7/5/2001
12/1/2008
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Health
6/18/2003
12/1/2008
Inactive
Merrill Lynch Life Agency Inc.
400527
Agent - Variable Life and Variable Annuities
6/18/2003
12/1/2008
Active
Raymond James Insurance Group, Inc.
398342
Agent - Life
2/23/2017
Inactive
Raymond James Insurance Group, Inc.
398342
Agent - Health
2/23/2017
12/23/2019
Active
Ubs Financial Services Ins Agency Inc
399373
Agent - Life
6/9/2010
Inactive
Ubs Financial Services Ins Agency Inc
399373
Agent - Health
6/9/2010
12/23/2019
Inactive
Ubs Financial Services Ins Agency Inc
399373
Agent - Variable Life and Variable Annuities
6/9/2010
6/12/2024
Active
Wallace Hart LLC
1231456
Agent - Life
10/17/2024
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