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DEPARTMENT OF INSURANCE
Affiliations
Name
Marsh Executive Benefits, Inc.
DOIID
518024
NAIC NPN
953691
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
5/31/2001
1/24/2014
Inactive
Non Resident
Agent
Health
1/16/2001
1/24/2014
Inactive
Non Resident
Agent
Life
1/16/2001
1/24/2014
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American General Life Insurance Company
301585
Agent - Health
12/3/2003
11/9/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
12/3/2003
11/9/2012
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
1/12/2004
11/9/2012
Inactive
Banner Life Insurance Company
301696
Agent - Life
2/28/2011
1/24/2014
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/7/2007
1/24/2014
Inactive
C.M. Life Insurance Company
301335
Agent - Health
7/2/2001
1/24/2014
Inactive
C.M. Life Insurance Company
301335
Agent - Life
7/2/2001
1/24/2014
Inactive
Connecticut General Life Insurance Company
301333
Agent - Life
3/19/2001
1/24/2014
Inactive
Delaware Life Insurance Company
301256
Agent - Life
3/18/2002
11/19/2012
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
1/12/2004
11/19/2012
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
6/30/2004
1/24/2014
Inactive
First Colony Life Insurance Company
301179
Agent - Life
4/28/2005
1/1/2007
Inactive
General Life Insurance Company
300652
Agent - Life
5/24/2001
1/22/2002
Inactive
Genworth Life Insurance Company
300623
Agent - Health
9/23/2009
1/24/2014
Inactive
Genworth Life Insurance Company
300623
Agent - Life
2/6/2003
1/24/2014
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
4/21/2009
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
12/7/2012
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
4/6/2007
12/30/2009
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
4/6/2007
12/30/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
5/24/2001
1/24/2014
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
5/24/2001
1/24/2014
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
1/12/2004
1/24/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
8/1/2002
1/24/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
8/1/2002
1/24/2014
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
1/12/2004
1/24/2014
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Life
5/24/2001
12/31/2001
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Variable Life and Variable Annuities
5/24/2001
12/31/2001
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
7/2/2001
1/24/2014
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
7/2/2001
1/24/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
11/8/2005
11/19/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
11/8/2005
11/19/2009
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
11/8/2005
11/19/2009
Inactive
MetLife Life and Annuity Company of Connecticut
301593
Agent - Life
7/20/2005
12/7/2007
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
3/30/2001
1/24/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
3/30/2001
1/24/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
1/12/2004
1/24/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
11/5/2001
1/24/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
11/5/2001
1/24/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
1/12/2004
1/24/2014
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
11/5/2001
1/24/2014
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
1/12/2004
1/24/2014
Inactive
Pacific Life Insurance Company
301848
Agent - Health
5/15/2001
1/24/2014
Inactive
Pacific Life Insurance Company
301848
Agent - Life
5/15/2001
1/24/2014
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
11/12/2009
1/24/2014
Inactive
Principal Life Insurance Company
300129
Agent - Health
6/14/2011
1/24/2014
Inactive
Principal Life Insurance Company
300129
Agent - Life
6/14/2011
1/24/2014
Inactive
Principal National Life Insurance Company
301926
Agent - Life
6/18/2013
1/24/2014
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
9/20/2001
1/24/2014
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
9/20/2001
1/24/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Health
6/23/2006
1/24/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Life
6/23/2006
1/24/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
6/23/2006
1/24/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Health
6/23/2006
1/24/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Life
6/23/2006
1/24/2014
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
6/23/2006
1/24/2014
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
7/16/2003
9/16/2004
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
11/25/2003
12/13/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
1/12/2004
10/5/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
3/12/2001
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
1/12/2004
9/29/2012
Inactive
Standard Insurance Company
300185
Agent - Health
7/24/2003
1/24/2014
Inactive
Standard Insurance Company
300185
Agent - Life
7/24/2003
1/24/2014
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Health
1/16/2001
12/14/2012
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
1/16/2001
3/14/2005
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
10/1/2008
1/24/2014
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
10/1/2008
1/24/2014
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Health
1/19/2004
10/1/2008
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
1/19/2004
10/1/2008
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
9/20/2001
1/24/2014
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
9/20/2001
1/24/2014
Inactive
Union Central Life Insurance Company
300307
Agent - Health
1/21/2004
1/22/2007
Inactive
Union Central Life Insurance Company
300307
Agent - Life
1/21/2004
1/22/2007
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
7/17/2001
1/24/2014
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
7/17/2001
1/24/2014
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
1/12/2004
1/24/2014
Inactive
West Coast Life Insurance Company
301607
Agent - Life
12/28/2004
12/15/2008
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Dellenbach, Hans
706434
Agent - Health
3/5/2010
12/17/2012
Inactive
Dellenbach, Hans
706434
Agent - Life
3/5/2010
12/17/2012
Denied
Dellenbach, Hans
706434
Agent - Variable Life and Variable Annuities
Inactive
Kovach, Jerome J
365918
Agent - Health
3/17/2009
1/24/2014
Inactive
Kovach, Jerome J
365918
Agent - Life
4/28/2007
1/24/2014
Inactive
Kovach, Jerome J
365918
Agent - Variable Life and Variable Annuities
3/26/2001
2/12/2003
Inactive
Manning, Jerry A
663094
Agent - Health
12/13/2010
2/17/2011
Inactive
Manning, Jerry A
663094
Agent - Life
12/13/2010
2/17/2011
Inactive
Mellon, Karen M
679931
Agent - Health
12/13/2010
1/5/2011
Inactive
Mellon, Karen M
679931
Agent - Life
1/25/2011
2/17/2011
Inactive
Micklege, Jeffrey Michael
576167
Agent - Health
3/5/2010
1/24/2014
Inactive
Micklege, Jeffrey Michael
576167
Agent - Life
3/5/2010
1/24/2014
Inactive
Nystrom, Lee Allen
503267
Agent - Health
1/12/2004
2/9/2007
Inactive
Nystrom, Lee Allen
503267
Agent - Life
1/12/2004
2/9/2007
Inactive
Nystrom, Lee Allen
503267
Agent - Variable Life and Variable Annuities
1/12/2004
2/9/2007
Inactive
Ordonez, Luis
306685
Agent - Health
2/9/2007
1/24/2014
Inactive
Ordonez, Luis
306685
Agent - Life
2/9/2007
1/24/2014
Inactive
Ordonez, Luis
306685
Agent - Variable Life and Variable Annuities
2/9/2007
1/24/2014
Inactive
Pease, Christopher B
342944
Agent - Health
3/5/2010
1/24/2014
Inactive
Pease, Christopher B
342944
Agent - Life
3/5/2010
1/24/2014
Inactive
Pease, Christopher B
342944
Agent - Variable Life and Variable Annuities
3/5/2010
1/24/2014
Inactive
Saunders, Larry David
336750
Agent - Health
3/5/2010
1/24/2014
Inactive
Saunders, Larry David
336750
Agent - Life
3/5/2010
1/24/2014
Inactive
Saunders, Larry David
336750
Agent - Variable Life and Variable Annuities
3/5/2010
1/24/2014
Inactive
Stratidis, Anthony C
538773
Agent - Health
12/13/2010
2/17/2011
Inactive
Stratidis, Anthony C
538773
Agent - Life
12/13/2010
2/17/2011
Inactive
Suter, Richard George
554112
Agent - Health
3/5/2010
6/18/2012
Inactive
Suter, Richard George
554112
Agent - Life
3/5/2010
6/18/2012
Denied
Tidwell, Darin Richard
673672
Agent - Health
Inactive
Tidwell, Darin Richard
673672
Agent - Life
3/12/2013
1/24/2014
Denied
Tidwell, Darin Richard
673672
Agent - Variable Life and Variable Annuities
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