DEPARTMENT OF INSURANCE
Affiliations
NameCbiz Life Insurance Solutions, Inc.DOIID536936NAIC NPN4670088
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/12/2001 3/31/2025
ActiveNon ResidentAgentHealth7/13/2018 3/31/2025
DeniedNon ResidentAgentVariable Life and Variable Annuities   
* 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
InactiveAmerican General Life Insurance Company301585Agent - Life3/26/200311/9/2012
ActiveBanner Life Insurance Company301696Agent - Life1/6/2005 
ActiveBrighthouse Life Insurance Company301829Agent - Life10/21/2002 
InactiveC.M. Life Insurance Company301335Agent - Life5/28/200211/16/2012
InactiveChase Insurance Life and Annuity Company300518Agent - Life4/4/20024/1/2007
ActiveEquitable Financial Life Insurance Company300808Agent - Life7/1/2004 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Life8/5/2003 
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life4/4/20027/9/2015
InactiveFirst Colony Life Insurance Company301179Agent - Life9/12/20011/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life10/21/200212/12/2008
InactiveGeneral American Life Insurance Company300280Agent - Life8/7/200311/19/2009
InactiveGenworth Life Insurance Company300623Agent - Life4/9/200910/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/22/2016
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health7/13/2018 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life2/12/2002 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/12/2002 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Life11/28/2023 
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/17/200711/19/2009
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life10/21/200212/7/2007
InactiveMetropolitan Life Insurance Company301948Agent - Life1/8/200711/19/2009
ActiveNationwide Life Insurance Company300495Agent - Life4/21/2008 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life4/21/2008 
InactiveNew York Life Insurance Company300431Agent - Life10/13/20104/5/2019
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life10/13/2010 
ActivePacific Life Insurance Company301848Agent - Life9/19/2008 
ActivePrincipal Life Insurance Company300129Agent - Life9/14/2004 
ActivePrincipal National Life Insurance Company301926Agent - Life12/23/2019 
ActiveProtective Life Insurance Company300638Agent - Life8/9/2011 
ActivePruco Life Insurance Company300954Agent - Life10/15/2002 
InactivePrudential Insurance Company of America300784Agent - Life10/15/200212/23/2014
ActiveSun Life Assurance Company of Canada301811Agent - Life8/1/2002 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/8/2011 
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/9/20021/27/2014
InactiveWest Coast Life Insurance Company301607Agent - Life7/24/200611/16/2011
InactiveWestern National Life Insurance Company300461Agent - Life2/25/20028/12/2008
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBaum, Luke F 383225Agent - Life10/1/200812/18/2013
InactiveGarbutt, Richard Charles 666278Agent - Life4/7/20088/27/2008
ActiveKim, Don Ok 1053614Agent - Health12/6/2023 
ActiveKim, Don Ok 1053614Agent - Life12/6/2023 
DeniedLouis-Barrow, John 1053632Agent - Health  
ActiveLouis-Barrow, John 1053632Agent - Life12/6/2023 
ActiveMellard, Nancy M 598279Agent - Health7/13/2018 
ActiveMellard, Nancy M 598279Agent - Life10/27/2011 
InactiveMoynihan, Timothy Charles 322626Agent - Life9/12/200110/2/2012

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