DEPARTMENT OF INSURANCE
Affiliations
NameBallou, Kevin DOIID522771NAIC NPN402958
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife4/13/20109/30/2012 
InactiveNon ResidentAgentVariable Life and Variable Annuities4/13/20109/30/2012 
InactiveNon ResidentAgentHealth4/13/20109/30/2012 
* 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 - Life4/24/200312/1/2005
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/24/200312/1/2005
DeniedAmeritas Variable Life Insurance Company300665Agent - Life  
DeniedAmeritas Variable Life Insurance Company300665Agent - Variable Life and Variable Annuities  
InactiveEmpower Annuity Insurance Company of America300259Agent - Health11/16/20015/8/2009
InactiveEmpower Annuity Insurance Company of America300259Agent - Life5/6/20109/30/2012
InactiveEmpower Annuity Insurance Company of America300259Agent - Variable Life and Variable Annuities5/6/20109/30/2012
InactiveEquitable Life Insurance Company of Iowa301633Agent - Health7/10/20011/1/2004
InactiveEquitable Life Insurance Company of Iowa301633Agent - Life7/10/20011/1/2004
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life1/25/20055/7/2009
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities1/25/20055/7/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life6/10/200211/4/2004
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities6/10/200211/4/2004
InactiveLife Investors Insurance Company of America301793Agent - Health4/3/20018/21/2008
InactiveLife Investors Insurance Company of America301793Agent - Life4/3/20018/21/2008
InactiveLife Investors Insurance Company of America301793Agent - Variable Life and Variable Annuities12/13/20018/21/2008
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/15/201011/5/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life9/15/201011/5/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities9/15/201011/5/2012
InactiveNationwide Life Insurance Company300495Agent - Health5/4/20107/14/2012
InactiveNationwide Life Insurance Company300495Agent - Life5/4/20107/14/2012
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities5/4/20107/14/2012
InactiveNew York Life Insurance Company300431Agent - Health6/18/20025/8/2009
InactiveNew York Life Insurance Company300431Agent - Life6/18/20025/8/2009
InactiveNew York Life Insurance Company300431Agent - Variable Life and Variable Annuities6/18/20025/8/2009
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Health5/10/20104/2/2012
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life5/10/20104/2/2012
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities5/10/20104/2/2012
InactivePrudential Insurance Company of America300784Agent - Health10/8/200212/5/2006
InactivePrudential Insurance Company of America300784Agent - Life10/8/200212/5/2006
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities10/8/200212/5/2006
InactiveTransamerica Life Insurance Company300571Agent - Health3/12/20015/8/2009
InactiveTransamerica Life Insurance Company300571Agent - Life10/7/20105/8/2012
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities11/22/20105/8/2012
InactiveVenerable Insurance and Annuity Company301006Agent - Health7/10/200112/15/2006
InactiveVenerable Insurance and Annuity Company301006Agent - Life7/10/200112/15/2006
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health8/20/20018/22/2008
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life8/20/20018/22/2008
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities12/13/20018/22/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCBC Insurance Revenue Securitization, LLC563273Agent - Health5/5/20109/30/2012
InactiveCBC Insurance Revenue Securitization, LLC563273Agent - Life5/5/20109/30/2012
InactiveClark Consulting, LLC502122Agent - Health5/4/20109/30/2012
InactiveClark Consulting, LLC502122Agent - Life5/4/20109/30/2012
InactiveClark Securities, Inc.546734Agent - Health4/29/20109/30/2012
InactiveClark Securities, Inc.546734Agent - Life4/29/20109/30/2012
InactiveClark Securities, Inc.546734Agent - Variable Life and Variable Annuities4/29/20109/30/2012

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