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DEPARTMENT OF INSURANCE
Affiliations
Name
Couch, Jeremy Chad
DOIID
520864
NAIC NPN
4801718
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Variable Life and Variable Annuities
1/8/2018
10/31/2025
Active
Resident
Agent
Life
1/8/2018
10/31/2025
Inactive
Resident
Agent
Health
9/30/2002
10/28/2009
* 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
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
08/15/2025
10/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Everlake Life Insurance Company
300873
Agent - Life
3/1/2005
5/22/2006
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
3/1/2005
5/22/2006
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
3/26/2001
7/1/2002
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
3/26/2001
7/1/2002
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
2/27/2006
5/24/2006
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
2/27/2006
5/24/2006
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
11/15/2011
11/1/2017
Inactive
Jefferson National Life Insurance Company
300258
Agent - Variable Life and Variable Annuities
11/15/2011
11/1/2017
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
9/13/2001
7/1/2002
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
9/13/2001
7/1/2002
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
9/13/2001
7/1/2002
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
3/21/2001
7/1/2002
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
9/23/2008
10/13/2009
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
9/23/2008
10/13/2009
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
9/23/2008
10/13/2009
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
9/23/2008
10/13/2009
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
9/23/2008
10/13/2009
Active
Pacific Life Insurance Company
301848
Agent - Life
9/15/2021
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
9/15/2021
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
8/14/2001
7/1/2002
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
8/14/2001
7/1/2002
Inactive
RiverSource Life Insurance Company
301952
Agent - Health
2/6/2001
7/1/2002
Inactive
RiverSource Life Insurance Company
301952
Agent - Life
3/20/2001
7/1/2002
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
2/23/2006
10/1/2007
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
2/23/2006
10/1/2007
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
2/23/2006
10/1/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
2/23/2006
10/1/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
2/23/2006
10/1/2007
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
2/23/2006
10/1/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
8/14/2001
7/1/2002
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
8/14/2001
7/1/2002
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
12/16/2004
9/15/2005
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
12/16/2004
9/15/2005
Inactive
Western National Life Insurance Company
300461
Agent - Life
10/10/2002
9/9/2005
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
12/28/2005
5/22/2006
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
12/28/2005
5/22/2006
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
B B & T Investment Services Inc.
510955
Agent - Health
9/23/2008
9/10/2009
Inactive
B B & T Investment Services Inc.
510955
Agent - Life
9/23/2008
9/10/2009
Inactive
B B & T Investment Services Inc.
510955
Agent - Variable Life and Variable Annuities
9/23/2008
9/10/2009
Inactive
BB&T Investment Services Inc
707567
Agent - Health
7/16/2009
9/10/2009
Inactive
BB&T Investment Services Inc
707567
Agent - Life
7/16/2009
9/10/2009
Inactive
BB&T Investment Services Inc
707567
Agent - Variable Life and Variable Annuities
7/16/2009
9/10/2009
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Life
4/27/2004
2/27/2007
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
4/27/2004
2/27/2007
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