DEPARTMENT OF INSURANCE
Affiliations
NameWorthMark Financial Services, LLCDOIID523750NAIC NPN3430985
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth4/2/20013/31/2009 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20013/31/2009 
InactiveNon ResidentAgentLife4/2/20013/31/2009 
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health1/28/20044/12/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Life1/28/20044/12/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities1/28/20044/12/2006
InactiveAmerican General Life Insurance Company301585Agent - Health10/14/20046/14/2006
InactiveAmerican General Life Insurance Company301585Agent - Life10/14/20043/31/2009
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities10/14/20046/14/2006
InactiveEquitable Financial Life Insurance Company300808Agent - Life1/10/20053/31/2009
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities1/10/20053/31/2009
InactiveFirst Colony Life Insurance Company301179Agent - Life2/6/20043/20/2006
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life5/25/20044/25/2006
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities5/25/20044/25/2006
InactiveGenworth Life Insurance Company300623Agent - Health5/14/20043/22/2006
InactiveGenworth Life Insurance Company300623Agent - Life2/11/20043/22/2006
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health7/28/20043/22/2006
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life7/28/20043/22/2006
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities7/28/20043/22/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life8/8/20033/2/2007
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities8/8/20033/2/2007
InactiveLincoln Benefit Life Company301110Agent - Health12/3/20043/31/2009
InactiveLincoln Benefit Life Company301110Agent - Life12/3/20043/31/2009
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities12/3/20043/31/2009
InactiveMetropolitan Life Insurance Company301948Agent - Health4/21/200411/19/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life4/21/200411/19/2008
InactiveMinnesota Life Insurance Company300488Agent - Health4/2/200112/8/2006
InactiveMinnesota Life Insurance Company300488Agent - Life4/2/200112/8/2006
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities5/31/200112/8/2006
InactivePacific Life Insurance Company301848Agent - Life9/26/200310/2/2008
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities9/26/200310/2/2008
InactivePrincipal Life Insurance Company300129Agent - Health4/15/20045/2/2007
InactivePrincipal Life Insurance Company300129Agent - Life4/15/20045/2/2007
InactiveReliaStar Life Insurance Company301712Agent - Life10/8/20033/31/2009
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities12/29/20033/31/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Life10/15/20034/14/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities10/15/20034/14/2009
InactiveTransamerica Life Insurance Company300571Agent - Life7/23/20036/26/2006
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities7/23/20036/26/2006
InactiveVenerable Insurance and Annuity Company301006Agent - Life3/8/20043/31/2009
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveConnolly, George Ignatius 522437Agent - Health4/2/20013/13/2003
InactiveConnolly, George Ignatius 522437Agent - Life4/2/20013/13/2003
InactiveConnolly, George Ignatius 522437Agent - Variable Life and Variable Annuities4/2/20013/13/2003
InactiveMcCloskey, Richard Robert 524512Agent - Health2/26/20073/31/2009
InactiveMcCloskey, Richard Robert 524512Agent - Life2/26/20073/31/2009
InactiveMcCloskey, Richard Robert 524512Agent - Variable Life and Variable Annuities2/26/20073/31/2009
InactivePeterson, James C 562907Agent - Health3/13/20032/26/2007
InactivePeterson, James C 562907Agent - Life3/13/20032/26/2007
InactivePeterson, James C 562907Agent - Variable Life and Variable Annuities3/13/20032/26/2007

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