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DEPARTMENT OF INSURANCE
Affiliations
Name
Dieruf III, Charles R
DOIID
522233
NAIC NPN
4683760
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
3/6/2014
9/1/2015
Inactive
Resident
Agent
Life
3/6/2014
9/1/2015
Inactive
Resident
Agent
Variable Life and Variable Annuities
3/6/2014
9/1/2015
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
1/11/2005
12/28/2006
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
1/11/2005
12/28/2006
Inactive
American General Life Insurance Company
301585
Agent - Health
10/10/2007
9/1/2009
Inactive
American General Life Insurance Company
301585
Agent - Life
3/25/2014
4/17/2015
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
3/25/2014
4/17/2015
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
5/1/2007
6/17/2009
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Variable Life and Variable Annuities
5/1/2007
6/17/2009
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
7/15/2005
5/1/2007
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Variable Life and Variable Annuities
7/15/2005
5/1/2007
Inactive
Banner Life Insurance Company
301696
Agent - Life
9/24/2004
11/22/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
4/23/2001
7/1/2004
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
4/23/2001
7/1/2004
Inactive
Forethought Life Insurance Company
301407
Agent - Health
6/8/2015
9/1/2015
Inactive
Forethought Life Insurance Company
301407
Agent - Life
6/8/2015
9/1/2015
Inactive
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
6/8/2015
9/1/2015
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
12/8/2010
10/28/2011
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
12/8/2010
10/28/2011
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
9/25/2004
9/1/2009
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
9/25/2004
9/1/2009
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
4/9/2001
7/1/2004
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
3/21/2014
5/4/2015
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
1/6/2015
9/1/2015
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
1/6/2015
9/1/2015
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
1/6/2015
9/1/2015
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
4/24/2015
9/1/2015
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
4/24/2015
9/1/2015
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
4/24/2015
9/1/2015
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
5/19/2008
9/1/2009
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
5/19/2008
9/1/2009
Inactive
Principal Life Insurance Company
300129
Agent - Health
2/5/2003
7/1/2004
Inactive
Principal Life Insurance Company
300129
Agent - Life
2/5/2003
7/1/2004
Inactive
Protective Life Insurance Company
300638
Agent - Health
10/22/2007
9/1/2009
Inactive
Protective Life Insurance Company
300638
Agent - Life
10/22/2007
9/1/2009
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
10/22/2007
9/1/2009
Inactive
Pruco Life Insurance Company
300954
Agent - Health
10/19/2004
12/22/2008
Inactive
Pruco Life Insurance Company
300954
Agent - Life
10/19/2004
12/22/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
11/23/2009
2/19/2010
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
11/23/2009
2/19/2010
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
11/23/2009
2/19/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
11/23/2009
2/19/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
11/23/2009
2/19/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
11/23/2009
2/19/2010
Inactive
Western National Life Insurance Company
300461
Agent - Life
11/3/2005
9/1/2009
Inactive
Western and Southern Life Insurance Company
301744
Agent - Health
11/25/2008
9/1/2009
Inactive
Western and Southern Life Insurance Company
301744
Agent - Life
11/25/2008
9/1/2009
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
11/2/2005
9/1/2009
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
11/2/2005
9/1/2009
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Cetera Investment Services LLC
398143
Agent - Life
3/21/2014
4/17/2015
Inactive
Cetera Investment Services LLC
398143
Agent - Health
1/6/2015
4/17/2015
Inactive
Cetera Investment Services LLC
398143
Agent - Variable Life and Variable Annuities
3/25/2014
4/17/2015
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Life
11/7/2005
9/1/2009
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Health
11/7/2005
9/1/2009
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
11/7/2005
9/1/2009
Inactive
Kovack Securities Inc
583337
Agent - Life
12/7/2010
9/1/2011
Inactive
Kovack Securities Inc
583337
Agent - Variable Life and Variable Annuities
12/7/2010
9/1/2011
Inactive
Raymond James Insurance Group, Inc.
398342
Agent - Life
4/21/2015
9/1/2015
Inactive
Raymond James Insurance Group, Inc.
398342
Agent - Health
4/21/2015
9/1/2015
Inactive
Raymond James Insurance Group, Inc.
398342
Agent - Variable Life and Variable Annuities
4/21/2015
9/1/2015
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