DEPARTMENT OF INSURANCE

Affiliations

Name	Usallianz Securities Inc	DOIID	526952	NAIC NPN	766786

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	2/20/2006	3/27/2007
Inactive	Non Resident	Agent	Health	2/20/2006	3/27/2007
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	2/20/2006	3/27/2007
* 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	10/12/2001	3/1/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/12/2001	3/1/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	10/12/2001	3/1/2004
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	4/19/2002	3/1/2004
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Variable Life and Variable Annuities	4/19/2002	3/1/2004
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	10/21/2003	3/1/2004
Inactive	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	10/21/2003	3/1/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Health	5/15/2006	3/27/2007
Inactive	C.M. Life Insurance Company	301335	Agent - Life	5/15/2006	3/27/2007
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	5/15/2006	3/27/2007
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	4/9/2002	1/1/2004
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Variable Life and Variable Annuities	4/9/2002	1/1/2004
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	7/20/2006	12/6/2006
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Variable Life and Variable Annuities	7/20/2006	12/6/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	11/8/2002	3/1/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/8/2002	3/1/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	11/8/2002	3/1/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/15/2006	3/27/2007
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	5/15/2006	3/27/2007
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	5/15/2006	3/27/2007
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	10/21/2003	3/1/2004
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Variable Life and Variable Annuities	10/21/2003	3/1/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	4/9/2003	3/1/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	4/9/2003	3/1/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Variable Life and Variable Annuities	4/9/2003	3/1/2004
Inactive	Penn Insurance and Annuity Company	300712	Agent - Health	3/14/2006	3/27/2007
Inactive	Penn Insurance and Annuity Company	300712	Agent - Life	3/14/2006	3/27/2007
Inactive	Penn Insurance and Annuity Company	300712	Agent - Variable Life and Variable Annuities	3/14/2006	3/27/2007
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	3/14/2006	3/27/2007
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	3/14/2006	3/27/2007
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Variable Life and Variable Annuities	3/14/2006	3/27/2007
Inactive	Pruco Life Insurance Company	300954	Agent - Health	1/8/2004	3/1/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/8/2004	3/1/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	1/8/2004	3/1/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/2/2002	3/1/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	10/2/2002	3/1/2004
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	5/23/2006	3/27/2007
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	1/10/2007	3/27/2007
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	1/10/2007	3/27/2007
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/26/2001	3/1/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/26/2001	3/1/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Variable Life and Variable Annuities	3/21/2006	3/27/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	12/5/2001	3/1/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	12/5/2001	3/1/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	12/5/2001	3/1/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	12/5/2001	3/1/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	12/5/2001	3/1/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	12/5/2001	3/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/30/2002	3/1/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	8/30/2002	3/1/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	8/30/2002	3/1/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Variable Life and Variable Annuities	8/30/2002	3/1/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	6/9/2006	3/27/2007
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	6/9/2006	3/27/2007
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	10/10/2003	3/1/2004
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Variable Life and Variable Annuities	10/10/2003	3/1/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Scherbarth, Steven R	569355	Agent - Health	1/23/2004	3/1/2004
Inactive	Scherbarth, Steven R	569355	Agent - Life	1/23/2004	3/1/2004
Inactive	Scherbarth, Steven R	569355	Agent - Variable Life and Variable Annuities	1/23/2004	3/1/2004
Inactive	Sensibaugh, Brian G	570128	Agent - Health	12/28/2006	3/27/2007
Inactive	Sensibaugh, Brian G	570128	Agent - Life	12/28/2006	3/27/2007
Inactive	Sensibaugh, Brian G	570128	Agent - Variable Life and Variable Annuities	12/28/2006	3/27/2007
Inactive	Tufford, Andrew J	622681	Agent - Health	2/20/2006	12/28/2006
Inactive	Tufford, Andrew J	622681	Agent - Life	2/20/2006	12/28/2006
Inactive	Tufford, Andrew J	622681	Agent - Variable Life and Variable Annuities	2/20/2006	12/28/2006
Inactive	Walther, Corey Jay	348197	Agent - Health	10/12/2001	1/23/2004
Inactive	Walther, Corey Jay	348197	Agent - Life	10/12/2001	1/23/2004
Inactive	Walther, Corey Jay	348197	Agent - Variable Life and Variable Annuities	10/12/2001	1/23/2004