DEPARTMENT OF INSURANCE
Affiliations
NameProspera Life & Annuity Services, Inc.DOIID536599NAIC NPN1334775
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/23/2005 3/31/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities9/6/2001 3/31/2025
ActiveNon ResidentAgentHealth3/23/2005 3/31/2025
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Health9/7/2011 
ActiveAllianz Life Insurance Company of North America301791Agent - Life9/7/2011 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/7/2011 
ActiveAmerican General Life Insurance Company301585Agent - Life12/31/2012 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/31/2012 
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
ActiveCMFG Life Insurance Company300929Agent - Health12/20/2023 
ActiveCMFG Life Insurance Company300929Agent - Life12/20/2023 
ActiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities12/20/2023 
ActiveEagle Life Insurance Company701261Agent - Life1/26/2022 
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life9/14/200812/17/2010
ActiveForethought Life Insurance Company301407Agent - Health6/28/2013 
ActiveForethought Life Insurance Company301407Agent - Life6/28/2013 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities6/28/2013 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Health9/14/2007 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life9/14/2007 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities9/14/2007 
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health2/25/200812/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life2/25/200812/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities2/25/200812/7/2012
ActiveJackson National Life Insurance Company300486Agent - Life3/3/2011 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities3/3/2011 
InactiveJohn Hancock Life Insurance Company300821Agent - Health12/17/200712/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life12/17/200712/30/2009
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/2008 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/12/2007 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities9/12/2007 
InactiveLincoln Benefit Life Company301110Agent - Health8/16/20057/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life8/16/20057/14/2014
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities8/16/20057/14/2014
ActiveLincoln National Life Insurance Company (The)301382Agent - Health10/16/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life10/16/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities10/16/2007 
ActiveMassMutual Ascend Life Insurance Company300320Agent - Life1/3/2023 
InactiveMetLife Investors Insurance Company301872Agent - Health12/19/200711/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life12/19/200711/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities12/19/200711/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health12/19/200711/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life12/19/200711/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities12/19/200711/14/2014
ActiveMetropolitan Life Insurance Company301948Agent - Health4/17/2008 
ActiveMetropolitan Life Insurance Company301948Agent - Life4/17/2008 
ActiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities4/17/2008 
ActiveNationwide Life Insurance Company300495Agent - Life10/10/2007 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities9/6/2001 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health3/14/2022 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life3/14/2022 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities3/14/2022 
ActiveOceanview Life and Annuity Company301868Agent - Life8/14/2020 
ActivePacific Life Insurance Company301848Agent - Life3/7/2006 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/7/2006 
ActivePruco Life Insurance Company300954Agent - Health9/14/2007 
ActivePruco Life Insurance Company300954Agent - Life9/14/2007 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities9/14/2007 
InactiveReliance Standard Life Insurance Company300584Agent - Life5/20/20091/23/2015
InactiveRiverSource Life Insurance Company301952Agent - Life1/9/200712/30/2008
InactiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities1/9/200712/30/2008
InactiveStandard Insurance Company300185Agent - Health5/5/200912/5/2022
InactiveStandard Insurance Company300185Agent - Life5/5/200912/5/2022
InactiveStandard Insurance Company300185Agent - Variable Life and Variable Annuities5/5/200912/5/2022
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life2/3/201112/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities2/3/201112/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Life12/31/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Variable Life and Variable Annuities12/31/201212/31/2012
ActiveTalcott Resolution Life Insurance Company301759Agent - Health12/2/2008 
ActiveTalcott Resolution Life Insurance Company301759Agent - Life12/2/2008 
ActiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities12/2/2008 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health12/2/2008 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life12/2/2008 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities12/2/2008 
ActiveTransamerica Life Insurance Company300571Agent - Life2/23/2018 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities2/23/2018 
InactiveVenerable Insurance and Annuity Company301006Agent - Health1/9/20085/18/2018
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/9/20085/18/2018
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities1/9/20085/18/2018
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health10/26/200912/18/2015
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life10/26/200912/18/2015
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities10/26/200912/18/2015
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health10/14/200810/28/2010
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life10/14/200810/28/2010
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities10/14/200810/28/2010
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBaxter, Shawn Michael 1278306Agent - Health7/24/2023 
ActiveBaxter, Shawn Michael 1278306Agent - Life7/24/2023 
ActiveBaxter, Shawn Michael 1278306Agent - Variable Life and Variable Annuities7/24/2023 
ActiveCrone, Stephen R 306888Agent - Health2/2/2022 
ActiveCrone, Stephen R 306888Agent - Life2/2/2022 
ActiveCrone, Stephen R 306888Agent - Variable Life and Variable Annuities2/2/2022 
InactiveForeman, Robin Rae 713959Agent - Variable Life and Variable Annuities10/11/20178/15/2019
ActiveGoodman, Jerry Wallace 699286Agent - Life4/25/2022 
ActiveGoodman, Jerry Wallace 699286Agent - Variable Life and Variable Annuities4/25/2022 
InactiveHartman, Troy V 634179Agent - Health5/8/201811/23/2019
ActiveHartman, Troy V 634179Agent - Life5/8/2018 
ActiveHartman, Troy V 634179Agent - Variable Life and Variable Annuities5/8/2018 
InactiveHead, Andrew J 607618Agent - Life4/2/20095/7/2010
InactiveHead, Andrew J 607618Agent - Variable Life and Variable Annuities4/2/20095/7/2010
InactiveMoise, Francis Davis 347857Agent - Health3/23/200512/4/2007
InactiveMoise, Francis Davis 347857Agent - Life3/23/200512/10/2012
InactiveMoise, Francis Davis 347857Agent - Variable Life and Variable Annuities9/6/200112/10/2012
DeniedShindler, Wesley Adam 1271230Agent - Health  
DeniedShindler, Wesley Adam 1271230Agent - Life  
DeniedShindler, Wesley Adam 1271230Agent - Variable Life and Variable Annuities  
ActiveSlouffman, Jay Ralph 542899Agent - Health5/8/2018 
ActiveSlouffman, Jay Ralph 542899Agent - Life5/8/2018 
ActiveSlouffman, Jay Ralph 542899Agent - Variable Life and Variable Annuities5/8/2018 
InactiveThompson, Margaret Anne 514605Agent - Health3/23/20056/27/2023
InactiveThompson, Margaret Anne 514605Agent - Life3/23/20056/27/2023
InactiveThompson, Margaret Anne 514605Agent - Variable Life and Variable Annuities1/31/20056/27/2023
ActiveWigington, Christopher J 1302723Agent - Health12/26/2023 
ActiveWigington, Christopher J 1302723Agent - Life12/26/2023 
ActiveWigington, Christopher J 1302723Agent - Variable Life and Variable Annuities12/26/2023 
ActiveWilson, Ricki J 357858Agent - Life8/10/2023 
ActiveWilson, Ricki J 357858Agent - Variable Life and Variable Annuities8/10/2023 

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