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DEPARTMENT OF INSURANCE
Affiliations
Name
Ballou, Kevin
DOIID
522771
NAIC NPN
402958
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
4/13/2010
9/30/2012
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
4/13/2010
9/30/2012
Inactive
Non Resident
Agent
Health
4/13/2010
9/30/2012
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
4/24/2003
12/1/2005
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
4/24/2003
12/1/2005
Denied
Ameritas Variable Life Insurance Company
300665
Agent - Life
Denied
Ameritas Variable Life Insurance Company
300665
Agent - Variable Life and Variable Annuities
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Health
11/16/2001
5/8/2009
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
5/6/2010
9/30/2012
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Variable Life and Variable Annuities
5/6/2010
9/30/2012
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Health
7/10/2001
1/1/2004
Inactive
Equitable Life Insurance Company of Iowa
301633
Agent - Life
7/10/2001
1/1/2004
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
1/25/2005
5/7/2009
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
1/25/2005
5/7/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
6/10/2002
11/4/2004
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
6/10/2002
11/4/2004
Inactive
Life Investors Insurance Company of America
301793
Agent - Health
4/3/2001
8/21/2008
Inactive
Life Investors Insurance Company of America
301793
Agent - Life
4/3/2001
8/21/2008
Inactive
Life Investors Insurance Company of America
301793
Agent - Variable Life and Variable Annuities
12/13/2001
8/21/2008
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
9/15/2010
11/5/2012
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
9/15/2010
11/5/2012
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
9/15/2010
11/5/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
5/4/2010
7/14/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
5/4/2010
7/14/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
5/4/2010
7/14/2012
Inactive
New York Life Insurance Company
300431
Agent - Health
6/18/2002
5/8/2009
Inactive
New York Life Insurance Company
300431
Agent - Life
6/18/2002
5/8/2009
Inactive
New York Life Insurance Company
300431
Agent - Variable Life and Variable Annuities
6/18/2002
5/8/2009
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Health
5/10/2010
4/2/2012
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
5/10/2010
4/2/2012
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
5/10/2010
4/2/2012
Inactive
Prudential Insurance Company of America
300784
Agent - Health
10/8/2002
12/5/2006
Inactive
Prudential Insurance Company of America
300784
Agent - Life
10/8/2002
12/5/2006
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
10/8/2002
12/5/2006
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
3/12/2001
5/8/2009
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
10/7/2010
5/8/2012
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
11/22/2010
5/8/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Health
7/10/2001
12/15/2006
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
7/10/2001
12/15/2006
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Health
8/20/2001
8/22/2008
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
8/20/2001
8/22/2008
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
12/13/2001
8/22/2008
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
CBC Insurance Revenue Securitization, LLC
563273
Agent - Health
5/5/2010
9/30/2012
Inactive
CBC Insurance Revenue Securitization, LLC
563273
Agent - Life
5/5/2010
9/30/2012
Inactive
Clark Consulting, LLC
502122
Agent - Health
5/4/2010
9/30/2012
Inactive
Clark Consulting, LLC
502122
Agent - Life
5/4/2010
9/30/2012
Inactive
Clark Securities, Inc.
546734
Agent - Health
4/29/2010
9/30/2012
Inactive
Clark Securities, Inc.
546734
Agent - Life
4/29/2010
9/30/2012
Inactive
Clark Securities, Inc.
546734
Agent - Variable Life and Variable Annuities
4/29/2010
9/30/2012
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