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DEPARTMENT OF INSURANCE
Affiliations
Name
United Securities Alliance, Inc.
DOIID
524470
NAIC NPN
2880284
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
4/5/2001
12/26/2007
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
5/31/2001
12/26/2007
Inactive
Non Resident
Agent
Life
4/5/2001
12/26/2007
* 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 - Health
1/14/2002
12/26/2007
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
1/14/2002
12/26/2007
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
1/14/2002
12/26/2007
Inactive
American National Insurance Company
301861
Agent - Health
4/16/2002
12/26/2007
Inactive
American National Insurance Company
301861
Agent - Life
4/16/2002
12/26/2007
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
5/1/2007
12/26/2007
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
10/11/2006
3/16/2007
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Health
4/5/2001
5/1/2007
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Life
4/5/2001
3/16/2007
Inactive
Ameritas Variable Life Insurance Company
300665
Agent - Variable Life and Variable Annuities
5/31/2001
3/16/2007
Inactive
Baltimore Life Insurance Company
300286
Agent - Health
12/26/2001
4/22/2002
Inactive
Baltimore Life Insurance Company
300286
Agent - Life
12/26/2001
4/22/2002
Inactive
C.M. Life Insurance Company
301335
Agent - Health
8/28/2001
12/26/2007
Inactive
C.M. Life Insurance Company
301335
Agent - Life
8/28/2001
12/26/2007
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
8/28/2001
12/26/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
1/27/2003
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
1/27/2003
4/1/2007
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
8/27/2001
12/26/2007
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
8/27/2001
12/26/2007
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
8/27/2001
12/26/2007
Inactive
Continental Casualty Company
301019
Agent - Health
7/5/2001
11/29/2004
Inactive
Delaware Life Insurance Company
301256
Agent - Life
2/19/2004
12/26/2007
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
2/19/2004
12/26/2007
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
10/1/2001
12/26/2007
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
10/1/2001
12/26/2007
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
7/15/2003
12/26/2007
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
7/15/2003
12/26/2007
Inactive
Everlake Life Insurance Company
300873
Agent - Life
1/1/2005
12/26/2007
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
3/5/2003
12/26/2007
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
6/25/2001
10/17/2005
Inactive
First Colony Life Insurance Company
301179
Agent - Health
8/19/2003
12/20/2006
Inactive
First Colony Life Insurance Company
301179
Agent - Life
8/19/2003
12/20/2006
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
12/3/2001
12/26/2007
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
12/3/2001
12/26/2007
Inactive
General American Life Insurance Company
300280
Agent - Health
8/18/2005
12/26/2007
Inactive
General American Life Insurance Company
300280
Agent - Life
8/18/2005
12/26/2007
Inactive
General American Life Insurance Company
300280
Agent - Variable Life and Variable Annuities
8/18/2005
12/26/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Health
12/3/2001
12/26/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Life
12/3/2001
12/26/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
7/31/2001
12/26/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
7/31/2001
12/26/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
7/31/2001
12/26/2007
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
12/31/2003
1/1/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
12/31/2003
1/1/2005
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
9/9/2002
3/8/2007
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
9/9/2002
3/8/2007
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
9/24/2002
11/2/2007
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
9/24/2002
11/2/2007
Inactive
Jefferson National Life Insurance Company
300258
Agent - Health
3/20/2002
6/8/2006
Inactive
Jefferson National Life Insurance Company
300258
Agent - Life
3/20/2002
6/8/2006
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
7/16/2003
12/26/2007
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
7/16/2003
12/26/2007
Inactive
Keyport Life Insurance Company
300319
Agent - Life
7/20/2001
12/31/2003
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
2/27/2003
12/26/2007
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
2/27/2003
12/26/2007
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
2/27/2003
12/26/2007
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
4/25/2002
12/26/2007
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
4/25/2002
12/26/2007
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
4/25/2002
12/26/2007
Inactive
MML Bay State Life Insurance Company
301198
Agent - Health
8/28/2001
12/26/2007
Inactive
MML Bay State Life Insurance Company
301198
Agent - Life
8/28/2001
12/26/2007
Inactive
MML Bay State Life Insurance Company
301198
Agent - Variable Life and Variable Annuities
8/28/2001
12/26/2007
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
8/28/2001
12/26/2007
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
8/28/2001
12/26/2007
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
8/28/2001
12/26/2007
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
8/18/2005
12/26/2007
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
8/18/2005
12/26/2007
Inactive
Midland National Life Insurance Company
300923
Agent - Health
3/25/2002
10/8/2007
Inactive
Midland National Life Insurance Company
300923
Agent - Life
3/18/2002
10/8/2007
Inactive
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
3/25/2002
10/8/2007
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
8/26/2003
12/26/2007
Inactive
Nassau Life Insurance Company
301406
Agent - Health
7/16/2001
12/26/2007
Inactive
Nassau Life Insurance Company
301406
Agent - Life
7/16/2001
12/26/2007
Inactive
Nassau Life Insurance Company
301406
Agent - Variable Life and Variable Annuities
7/16/2001
12/26/2007
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
10/12/2006
9/18/2007
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
10/12/2006
9/18/2007
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
10/12/2006
9/18/2007
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
10/12/2006
9/18/2007
Inactive
PHL Variable Insurance Company
300525
Agent - Health
7/16/2001
12/26/2007
Inactive
PHL Variable Insurance Company
300525
Agent - Life
7/16/2001
12/26/2007
Inactive
PHL Variable Insurance Company
300525
Agent - Variable Life and Variable Annuities
7/16/2001
12/26/2007
Inactive
Pacific Life Insurance Company
301848
Agent - Life
5/20/2002
12/26/2007
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
5/20/2002
12/26/2007
Inactive
Principal Life Insurance Company
300129
Agent - Life
6/9/2003
12/26/2007
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/1/2007
12/26/2007
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
12/26/2007
Inactive
Pruco Life Insurance Company
300954
Agent - Health
7/22/2003
12/26/2007
Inactive
Pruco Life Insurance Company
300954
Agent - Life
7/22/2003
12/26/2007
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
7/22/2003
12/26/2007
Inactive
Prudential Insurance Company of America
300784
Agent - Health
7/22/2003
12/26/2007
Inactive
Prudential Insurance Company of America
300784
Agent - Life
7/22/2003
12/26/2007
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
9/30/2006
1/26/2007
Inactive
Reassure America Life Insurance Company
301902
Agent - Variable Life and Variable Annuities
9/30/2006
12/26/2007
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
10/1/2003
12/26/2007
Inactive
Sage Life Assurance of America Inc.
301274
Agent - Life
3/11/2002
9/30/2006
Inactive
Sage Life Assurance of America Inc.
301274
Agent - Variable Life and Variable Annuities
3/11/2002
9/30/2006
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
6/12/2003
10/1/2003
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
8/28/2003
12/26/2007
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
6/7/2004
12/26/2007
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
6/7/2004
12/26/2007
Inactive
Symetra Life Insurance Company
301691
Agent - Health
5/2/2002
12/26/2007
Inactive
Symetra Life Insurance Company
301691
Agent - Life
5/2/2002
12/26/2007
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
5/2/2002
12/26/2007
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
6/29/2004
12/26/2007
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
6/29/2004
12/26/2007
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
7/14/2003
9/21/2007
Inactive
United Investors Life Insurance Company
301873
Agent - Life
1/26/2005
12/26/2007
Inactive
United Investors Life Insurance Company
301873
Agent - Variable Life and Variable Annuities
1/26/2005
12/26/2007
Inactive
United World Life Insurance Company
300532
Agent - Health
9/19/2005
12/26/2007
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
8/26/2003
12/26/2007
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
8/26/2003
12/26/2007
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
5/14/2004
12/26/2007
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
5/14/2004
12/26/2007
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
8/22/2001
12/26/2007
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
8/22/2001
12/26/2007
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
8/22/2001
12/26/2007
Inactive
West Coast Life Insurance Company
301607
Agent - Life
6/27/2003
12/28/2005
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Braden, James Alan
537251
Agent - Health
10/14/2002
12/20/2002
Inactive
Braden, James Alan
537251
Agent - Life
10/14/2002
1/11/2005
Inactive
Braden, James Alan
537251
Agent - Variable Life and Variable Annuities
10/14/2002
1/11/2005
Inactive
Calvert, Patricia M
378422
Agent - Health
10/14/2002
1/11/2005
Inactive
Calvert, Patricia M
378422
Agent - Life
10/14/2002
1/11/2005
Inactive
Calvert, Patricia M
378422
Agent - Variable Life and Variable Annuities
10/14/2002
1/11/2005
Inactive
Cannella, Jeffrey J
647966
Agent - Health
3/22/2007
12/26/2007
Inactive
Cannella, Jeffrey J
647966
Agent - Life
3/22/2007
12/26/2007
Inactive
Cannella, Jeffrey J
647966
Agent - Variable Life and Variable Annuities
3/22/2007
12/26/2007
Inactive
Carpenter, Bruce Evan
307808
Agent - Life
10/14/2002
1/11/2005
Inactive
Carpenter, Bruce Evan
307808
Agent - Variable Life and Variable Annuities
10/14/2002
1/11/2005
Inactive
Chenault, Jeffrey Carl
385991
Agent - Health
10/14/2002
10/9/2003
Inactive
Chenault, Jeffrey Carl
385991
Agent - Life
10/14/2002
10/9/2003
Inactive
Chenault, Jeffrey Carl
385991
Agent - Variable Life and Variable Annuities
10/14/2002
10/9/2003
Inactive
Cook, Mary Ann
384103
Agent - Health
10/14/2002
1/11/2005
Inactive
Cook, Mary Ann
384103
Agent - Life
10/14/2002
1/11/2005
Inactive
Cook, Mary Ann
384103
Agent - Variable Life and Variable Annuities
10/14/2002
1/11/2005
Inactive
Davis, Dana L
584818
Agent - Health
1/31/2005
12/26/2007
Inactive
Davis, Dana L
584818
Agent - Life
4/23/2004
12/26/2007
Inactive
Davis, Dana L
584818
Agent - Variable Life and Variable Annuities
4/23/2004
12/26/2007
Inactive
Diemer, Michael H
345345
Agent - Life
5/18/2004
3/22/2007
Inactive
Diemer, Michael H
345345
Agent - Variable Life and Variable Annuities
5/18/2004
3/22/2007
Inactive
Earley, Albert L
390693
Agent - Health
1/29/2007
3/22/2007
Inactive
Earley, Albert L
390693
Agent - Life
1/29/2007
3/22/2007
Inactive
Earley, Albert L
390693
Agent - Variable Life and Variable Annuities
1/29/2007
3/22/2007
Inactive
Eckdahl, David D
346698
Agent - Health
10/14/2002
4/18/2003
Inactive
Eckdahl, David D
346698
Agent - Life
10/14/2002
4/18/2003
Inactive
Eckdahl, David D
346698
Agent - Variable Life and Variable Annuities
10/14/2002
4/18/2003
Inactive
Elsler, Douglas W
384550
Agent - Health
10/14/2002
4/18/2003
Inactive
Elsler, Douglas W
384550
Agent - Life
10/14/2002
4/18/2003
Inactive
Elsler, Douglas W
384550
Agent - Variable Life and Variable Annuities
10/14/2002
4/18/2003
Inactive
Gettinger, William Lane
330168
Agent - Health
10/14/2002
10/9/2003
Inactive
Gettinger, William Lane
330168
Agent - Life
10/14/2002
10/9/2003
Inactive
Gettinger, William Lane
330168
Agent - Variable Life and Variable Annuities
10/14/2002
10/9/2003
Inactive
Jones, Michael Washington
547479
Agent - Health
10/14/2002
11/5/2003
Inactive
Jones, Michael Washington
547479
Agent - Life
10/14/2002
11/5/2003
Inactive
Jones, Michael Washington
547479
Agent - Variable Life and Variable Annuities
10/14/2002
11/5/2003
Inactive
Likins, Morris Darrow
380641
Agent - Health
10/14/2002
4/18/2003
Inactive
Likins, Morris Darrow
380641
Agent - Life
10/14/2002
4/18/2003
Inactive
Likins, Morris Darrow
380641
Agent - Variable Life and Variable Annuities
10/14/2002
4/18/2003
Inactive
Maxwell-Jones, Melodie
524383
Agent - Health
4/5/2001
10/14/2002
Inactive
Maxwell-Jones, Melodie
524383
Agent - Life
4/5/2001
10/14/2002
Inactive
Maxwell-Jones, Melodie
524383
Agent - Variable Life and Variable Annuities
4/5/2001
10/14/2002
Inactive
Minnis, Gerald Lee
363311
Agent - Health
1/29/2007
3/22/2007
Inactive
Minnis, Gerald Lee
363311
Agent - Life
1/29/2007
3/22/2007
Inactive
Minnis, Gerald Lee
363311
Agent - Variable Life and Variable Annuities
1/29/2007
3/22/2007
Inactive
Minnis, Lance G
342259
Agent - Health
1/29/2007
3/22/2007
Inactive
Minnis, Lance G
342259
Agent - Life
1/29/2007
3/22/2007
Inactive
Minnis, Lance G
342259
Agent - Variable Life and Variable Annuities
1/29/2007
3/22/2007
Inactive
Overby, Gregory
501482
Agent - Health
10/14/2002
10/9/2003
Inactive
Overby, Gregory
501482
Agent - Life
10/14/2002
10/9/2003
Inactive
Pfaffinger, Sue E
510402
Agent - Life
6/9/2003
3/22/2007
Inactive
Pfaffinger, Sue E
510402
Agent - Variable Life and Variable Annuities
6/9/2003
3/22/2007
Inactive
Rager, Dean Allan
569404
Agent - Health
7/17/2003
4/12/2004
Inactive
Rager, Dean Allan
569404
Agent - Life
7/17/2003
4/12/2004
Inactive
Rager, Dean Allan
569404
Agent - Variable Life and Variable Annuities
7/17/2003
4/12/2004
Inactive
Rosen, Jonathan
367939
Agent - Health
10/14/2002
4/18/2003
Inactive
Rosen, Jonathan
367939
Agent - Life
10/14/2002
4/18/2003
Inactive
Smith, Paul Edward
513039
Agent - Life
10/14/2002
4/18/2003
Inactive
Thompson, Joseph Todd
375240
Agent - Health
10/14/2002
4/18/2003
Inactive
Thompson, Joseph Todd
375240
Agent - Life
10/14/2002
4/18/2003
Inactive
Thompson, Joseph Todd
375240
Agent - Variable Life and Variable Annuities
10/14/2002
4/18/2003
Inactive
Warren, Darryl Rene
327233
Agent - Health
10/14/2002
10/9/2003
Inactive
Warren, Darryl Rene
327233
Agent - Life
10/14/2002
10/9/2003
Inactive
Warren, Darryl Rene
327233
Agent - Variable Life and Variable Annuities
10/14/2002
10/9/2003
Inactive
Wise, Samuel Wesley
585358
Agent - Life
5/3/2004
7/20/2004
Inactive
Wise, Samuel Wesley
585358
Agent - Variable Life and Variable Annuities
5/3/2004
7/20/2004
Inactive
Wolz, John Anthony
372199
Agent - Health
10/14/2002
1/18/2005
Inactive
Wolz, John Anthony
372199
Agent - Life
10/14/2002
1/18/2005
Inactive
Wolz, John Anthony
372199
Agent - Variable Life and Variable Annuities
10/14/2002
1/18/2005
Inactive
Worth, Jason
359977
Agent - Health
10/14/2002
11/10/2003
Inactive
Worth, Jason
359977
Agent - Life
10/14/2002
11/10/2003
Inactive
Worth, Jason
359977
Agent - Variable Life and Variable Annuities
10/14/2002
11/10/2003
Inactive
Worth, John Lee
312381
Agent - Health
10/14/2002
7/20/2004
Inactive
Worth, John Lee
312381
Agent - Life
10/14/2002
7/20/2004
Inactive
Worth, John Lee
312381
Agent - Variable Life and Variable Annuities
10/14/2002
7/20/2004
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