DEPARTMENT OF INSURANCE
Affiliations
NameDieruf III, Charles RDOIID522233NAIC NPN4683760
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth3/6/20149/1/2015 
InactiveResidentAgentLife3/6/20149/1/2015 
InactiveResidentAgentVariable Life and Variable Annuities3/6/20149/1/2015 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/11/200512/28/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities1/11/200512/28/2006
InactiveAmerican General Life Insurance Company301585Agent - Health10/10/20079/1/2009
InactiveAmerican General Life Insurance Company301585Agent - Life3/25/20144/17/2015
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities3/25/20144/17/2015
InactiveAmeritas Life Insurance Corporation300126Agent - Life5/1/20076/17/2009
InactiveAmeritas Life Insurance Corporation300126Agent - Variable Life and Variable Annuities5/1/20076/17/2009
InactiveAmeritas Variable Life Insurance Company300665Agent - Life7/15/20055/1/2007
InactiveAmeritas Variable Life Insurance Company300665Agent - Variable Life and Variable Annuities7/15/20055/1/2007
InactiveBanner Life Insurance Company301696Agent - Life9/24/200411/22/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health4/23/20017/1/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life4/23/20017/1/2004
InactiveForethought Life Insurance Company301407Agent - Health6/8/20159/1/2015
InactiveForethought Life Insurance Company301407Agent - Life6/8/20159/1/2015
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities6/8/20159/1/2015
InactiveJackson National Life Insurance Company300486Agent - Life12/8/201010/28/2011
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities12/8/201010/28/2011
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/25/20049/1/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Life9/25/20049/1/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/9/20017/1/2004
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life3/21/20145/4/2015
InactiveNationwide Life Insurance Company300495Agent - Health1/6/20159/1/2015
InactiveNationwide Life Insurance Company300495Agent - Life1/6/20159/1/2015
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities1/6/20159/1/2015
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health4/24/20159/1/2015
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life4/24/20159/1/2015
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities4/24/20159/1/2015
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life5/19/20089/1/2009
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities5/19/20089/1/2009
InactivePrincipal Life Insurance Company300129Agent - Health2/5/20037/1/2004
InactivePrincipal Life Insurance Company300129Agent - Life2/5/20037/1/2004
InactiveProtective Life Insurance Company300638Agent - Health10/22/20079/1/2009
InactiveProtective Life Insurance Company300638Agent - Life10/22/20079/1/2009
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities10/22/20079/1/2009
InactivePruco Life Insurance Company300954Agent - Health10/19/200412/22/2008
InactivePruco Life Insurance Company300954Agent - Life10/19/200412/22/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Health11/23/20092/19/2010
InactiveTalcott Resolution Life Insurance Company301759Agent - Life11/23/20092/19/2010
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities11/23/20092/19/2010
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health11/23/20092/19/2010
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/23/20092/19/2010
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities11/23/20092/19/2010
InactiveWestern National Life Insurance Company300461Agent - Life11/3/20059/1/2009
InactiveWestern and Southern Life Insurance Company301744Agent - Health11/25/20089/1/2009
InactiveWestern and Southern Life Insurance Company301744Agent - Life11/25/20089/1/2009
InactiveWestern-Southern Life Assurance Company301590Agent - Health11/2/20059/1/2009
InactiveWestern-Southern Life Assurance Company301590Agent - Life11/2/20059/1/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCetera Investment Services LLC398143Agent - Life3/21/20144/17/2015
InactiveCetera Investment Services LLC398143Agent - Health1/6/20154/17/2015
InactiveCetera Investment Services LLC398143Agent - Variable Life and Variable Annuities3/25/20144/17/2015
InactiveFifth Third Insurance Agency Inc399341Agent - Life11/7/20059/1/2009
InactiveFifth Third Insurance Agency Inc399341Agent - Health11/7/20059/1/2009
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities11/7/20059/1/2009
InactiveKovack Securities Inc583337Agent - Life12/7/20109/1/2011
InactiveKovack Securities Inc583337Agent - Variable Life and Variable Annuities12/7/20109/1/2011
InactiveRaymond James Insurance Group, Inc.398342Agent - Life4/21/20159/1/2015
InactiveRaymond James Insurance Group, Inc.398342Agent - Health4/21/20159/1/2015
InactiveRaymond James Insurance Group, Inc.398342Agent - Variable Life and Variable Annuities4/21/20159/1/2015

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