DEPARTMENT OF INSURANCE
Affiliations
NameMarsh Executive Benefits, Inc.DOIID518024NAIC NPN953691
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20011/24/2014 
InactiveNon ResidentAgentHealth1/16/20011/24/2014 
InactiveNon ResidentAgentLife1/16/20011/24/2014 
* 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
InactiveAmerican General Life Insurance Company301585Agent - Health12/3/200311/9/2012
InactiveAmerican General Life Insurance Company301585Agent - Life12/3/200311/9/2012
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities1/12/200411/9/2012
InactiveBanner Life Insurance Company301696Agent - Life2/28/20111/24/2014
InactiveBrighthouse Life Insurance Company301829Agent - Life12/7/20071/24/2014
InactiveC.M. Life Insurance Company301335Agent - Health7/2/20011/24/2014
InactiveC.M. Life Insurance Company301335Agent - Life7/2/20011/24/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life3/19/20011/24/2014
InactiveDelaware Life Insurance Company301256Agent - Life3/18/200211/19/2012
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities1/12/200411/19/2012
InactiveEquitable Financial Life Insurance Company300808Agent - Life6/30/20041/24/2014
InactiveFirst Colony Life Insurance Company301179Agent - Life4/28/20051/1/2007
InactiveGeneral Life Insurance Company300652Agent - Life5/24/20011/22/2002
InactiveGenworth Life Insurance Company300623Agent - Health9/23/20091/24/2014
InactiveGenworth Life Insurance Company300623Agent - Life2/6/20031/24/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/21/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/7/2012
InactiveJohn Hancock Life Insurance Company300821Agent - Health4/6/200712/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life4/6/200712/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health5/24/20011/24/2014
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life5/24/20011/24/2014
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities1/12/20041/24/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Health8/1/20021/24/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Life8/1/20021/24/2014
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/12/20041/24/2014
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life5/24/200112/31/2001
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Variable Life and Variable Annuities5/24/200112/31/2001
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health7/2/20011/24/2014
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life7/2/20011/24/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health11/8/200511/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/8/200511/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities11/8/200511/19/2009
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life7/20/200512/7/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health3/30/20011/24/2014
InactiveMetropolitan Life Insurance Company301948Agent - Life3/30/20011/24/2014
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities1/12/20041/24/2014
InactiveNationwide Life Insurance Company300495Agent - Health11/5/20011/24/2014
InactiveNationwide Life Insurance Company300495Agent - Life11/5/20011/24/2014
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities1/12/20041/24/2014
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life11/5/20011/24/2014
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities1/12/20041/24/2014
InactivePacific Life Insurance Company301848Agent - Health5/15/20011/24/2014
InactivePacific Life Insurance Company301848Agent - Life5/15/20011/24/2014
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities11/12/20091/24/2014
InactivePrincipal Life Insurance Company300129Agent - Health6/14/20111/24/2014
InactivePrincipal Life Insurance Company300129Agent - Life6/14/20111/24/2014
InactivePrincipal National Life Insurance Company301926Agent - Life6/18/20131/24/2014
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/20/20011/24/2014
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/20/20011/24/2014
InactivePruco Life Insurance Company300954Agent - Health6/23/20061/24/2014
InactivePruco Life Insurance Company300954Agent - Life6/23/20061/24/2014
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities6/23/20061/24/2014
InactivePrudential Insurance Company of America300784Agent - Health6/23/20061/24/2014
InactivePrudential Insurance Company of America300784Agent - Life6/23/20061/24/2014
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities6/23/20061/24/2014
InactiveReassure America Life Insurance Company301902Agent - Life7/16/20039/16/2004
InactiveReliaStar Life Insurance Company301712Agent - Life11/25/200312/13/2012
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities1/12/200410/5/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life3/12/20019/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities1/12/20049/29/2012
InactiveStandard Insurance Company300185Agent - Health7/24/20031/24/2014
InactiveStandard Insurance Company300185Agent - Life7/24/20031/24/2014
InactiveSun Life Assurance Company of Canada301811Agent - Health1/16/200112/14/2012
InactiveSun Life Assurance Company of Canada301811Agent - Life1/16/20013/14/2005
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/20081/24/2014
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20081/24/2014
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health1/19/200410/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life1/19/200410/1/2008
InactiveUNUM Life Insurance Company of America300817Agent - Health9/20/20011/24/2014
InactiveUNUM Life Insurance Company of America300817Agent - Life9/20/20011/24/2014
InactiveUnion Central Life Insurance Company300307Agent - Health1/21/20041/22/2007
InactiveUnion Central Life Insurance Company300307Agent - Life1/21/20041/22/2007
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health7/17/20011/24/2014
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life7/17/20011/24/2014
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities1/12/20041/24/2014
InactiveWest Coast Life Insurance Company301607Agent - Life12/28/200412/15/2008
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDellenbach, Hans 706434Agent - Health3/5/201012/17/2012
InactiveDellenbach, Hans 706434Agent - Life3/5/201012/17/2012
DeniedDellenbach, Hans 706434Agent - Variable Life and Variable Annuities  
InactiveKovach, Jerome J 365918Agent - Health3/17/20091/24/2014
InactiveKovach, Jerome J 365918Agent - Life4/28/20071/24/2014
InactiveKovach, Jerome J 365918Agent - Variable Life and Variable Annuities3/26/20012/12/2003
InactiveManning, Jerry A 663094Agent - Health12/13/20102/17/2011
InactiveManning, Jerry A 663094Agent - Life12/13/20102/17/2011
InactiveMellon, Karen M 679931Agent - Health12/13/20101/5/2011
InactiveMellon, Karen M 679931Agent - Life1/25/20112/17/2011
InactiveMicklege, Jeffrey Michael 576167Agent - Health3/5/20101/24/2014
InactiveMicklege, Jeffrey Michael 576167Agent - Life3/5/20101/24/2014
InactiveNystrom, Lee Allen 503267Agent - Health1/12/20042/9/2007
InactiveNystrom, Lee Allen 503267Agent - Life1/12/20042/9/2007
InactiveNystrom, Lee Allen 503267Agent - Variable Life and Variable Annuities1/12/20042/9/2007
InactiveOrdonez, Luis 306685Agent - Health2/9/20071/24/2014
InactiveOrdonez, Luis 306685Agent - Life2/9/20071/24/2014
InactiveOrdonez, Luis 306685Agent - Variable Life and Variable Annuities2/9/20071/24/2014
InactivePease, Christopher B 342944Agent - Health3/5/20101/24/2014
InactivePease, Christopher B 342944Agent - Life3/5/20101/24/2014
InactivePease, Christopher B 342944Agent - Variable Life and Variable Annuities3/5/20101/24/2014
InactiveSaunders, Larry David 336750Agent - Health3/5/20101/24/2014
InactiveSaunders, Larry David 336750Agent - Life3/5/20101/24/2014
InactiveSaunders, Larry David 336750Agent - Variable Life and Variable Annuities3/5/20101/24/2014
InactiveStratidis, Anthony C 538773Agent - Health12/13/20102/17/2011
InactiveStratidis, Anthony C 538773Agent - Life12/13/20102/17/2011
InactiveSuter, Richard George 554112Agent - Health3/5/20106/18/2012
InactiveSuter, Richard George 554112Agent - Life3/5/20106/18/2012
DeniedTidwell, Darin Richard 673672Agent - Health  
InactiveTidwell, Darin Richard 673672Agent - Life3/12/20131/24/2014
DeniedTidwell, Darin Richard 673672Agent - Variable Life and Variable Annuities  

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