DEPARTMENT OF INSURANCE
Affiliations
NameFHIS, Inc.DOIID543875NAIC NPN3391527
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth2/28/2002 3/31/2026
ActiveNon ResidentAgentLife2/28/2002 3/31/2026
InactiveNon ResidentAgentProperty2/28/20026/15/2009 
InactiveNon ResidentAgentCasualty2/28/20021/5/2004 
InactiveNon ResidentAgentVariable Life and Variable Annuities2/28/20021/2/2024 
* 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
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty4/3/20021/5/2004
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Property5/1/20064/17/2008
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Health4/3/200212/28/2004
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Life4/3/200212/28/2004
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property9/8/20042/19/2008
InactiveAmerican General Assurance Company300586Agent - Health4/8/200212/31/2008
InactiveAmerican General Assurance Company300586Agent - Life4/8/200212/31/2008
ActiveAmerican General Life Insurance Company301585Agent - Life12/31/2012 
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/31/20121/2/2024
InactiveAmerican Reliable Insurance Company301889Agent - Property5/1/20064/17/2008
InactiveAmerican Security Insurance Company300901Agent - Property5/1/20064/17/2008
InactiveAthene Annuity & Life Assurance Company301798Agent - Life7/24/20078/31/2012
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/20141/2/2024
ActiveC.M. Life Insurance Company301335Agent - Health8/19/2004 
ActiveC.M. Life Insurance Company301335Agent - Life8/19/2004 
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities10/5/20051/2/2024
InactiveColumbus Life Insurance Company301227Agent - Health1/11/20062/7/2011
InactiveColumbus Life Insurance Company301227Agent - Life1/11/20062/7/2011
InactiveColumbus Life Insurance Company301227Agent - Variable Life and Variable Annuities1/11/20062/7/2011
InactiveCompBenefits Dental, Inc.591692Agent - Health7/9/20101/26/2012
InactiveConnecticut General Life Insurance Company301333Agent - Health5/20/20021/24/2006
InactiveConnecticut General Life Insurance Company301333Agent - Life5/20/20021/24/2006
InactiveContinental Casualty Company301019Agent - Property9/8/200412/27/2005
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20091/26/2012
InactiveEmpower Annuity Insurance Company of America300259Agent - Life6/8/20041/16/2020
InactiveEquitable Financial Life Insurance Company300808Agent - Life1/22/200412/21/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities1/22/20041/2/2024
InactiveEverlake Life Insurance Company300873Agent - Life3/9/200512/17/2013
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities3/9/200512/17/2013
InactiveFederal Insurance Company301144Agent - Casualty2/28/20021/5/2004
InactiveFederal Insurance Company301144Agent - Property2/28/20026/15/2009
ActiveForethought Life Insurance Company301407Agent - Health2/18/2013 
ActiveForethought Life Insurance Company301407Agent - Life2/18/2013 
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities3/12/20131/2/2024
ActiveFortitude Life Insurance & Annuity Company301503Agent - Health5/25/2005 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life5/25/2005 
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities5/25/20051/2/2024
InactiveGenworth Life Insurance Company300623Agent - Health5/19/200412/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life5/19/200412/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/1/200412/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life4/1/200412/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities4/1/200412/7/2012
InactiveHartford Accident and Indemnity Company301917Agent - Casualty4/8/20021/5/2004
InactiveHartford Accident and Indemnity Company301917Agent - Property4/8/20026/15/2009
InactiveHartford Casualty Insurance Company301332Agent - Casualty4/8/20021/5/2004
InactiveHartford Casualty Insurance Company301332Agent - Property4/8/20026/15/2009
InactiveHartford Fire Insurance Company300628Agent - Casualty4/8/20021/5/2004
InactiveHartford Fire Insurance Company300628Agent - Property4/8/20026/15/2009
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty4/8/20021/5/2004
InactiveHartford Insurance Company of the Midwest301918Agent - Property4/8/20026/15/2009
InactiveHartford Underwriters Insurance Company301064Agent - Casualty4/8/20021/5/2004
InactiveHartford Underwriters Insurance Company301064Agent - Property4/8/20026/15/2009
InactiveHumana Health Plan, Inc.300142Agent - Health3/26/20091/26/2012
InactiveHumana Insurance Company301104Agent - Health9/27/20061/26/2012
InactiveHumana Insurance Company301104Agent - Life9/27/20061/26/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/27/20061/26/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/27/20061/26/2012
InactiveHumanaDental Insurance Company301457Agent - Health9/27/20061/26/2012
InactiveHumanaDental Insurance Company301457Agent - Life9/27/20061/26/2012
ActiveJackson National Life Insurance Company300486Agent - Life5/4/2015 
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities5/4/20151/2/2024
InactiveJohn Hancock Life Insurance Company300821Agent - Health6/12/200212/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life6/12/200212/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Variable Life and Variable Annuities6/12/200212/30/2009
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/2008 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/2008 
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities9/19/20081/2/2024
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health6/12/20022/24/2009
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life6/12/20022/24/2009
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Variable Life and Variable Annuities6/12/20022/24/2009
InactiveLincoln Benefit Life Company301110Agent - Health6/10/20057/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life6/10/20057/14/2014
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities6/10/20057/14/2014
ActiveLincoln National Life Insurance Company (The)301382Agent - Health9/28/2004 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life9/28/2004 
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities6/5/20091/2/2024
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Health8/19/2004 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Life8/19/2004 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities10/5/20051/2/2024
InactiveMetLife Investors Insurance Company301872Agent - Health5/18/200911/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life5/18/200911/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities5/18/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health5/18/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life5/18/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities5/18/200911/14/2014
ActiveMetropolitan Life Insurance Company301948Agent - Health5/18/2009 
ActiveMetropolitan Life Insurance Company301948Agent - Life5/18/2009 
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities5/18/20091/2/2024
InactiveNational Fire Insurance Company of Hartford301063Agent - Property9/8/200412/30/2005
ActiveNationwide Life Insurance Company300495Agent - Health10/23/2003 
ActiveNationwide Life Insurance Company300495Agent - Life10/23/2003 
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities10/23/20031/2/2024
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life10/23/2003 
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities10/23/20031/2/2024
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/22/2008 
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities1/22/20081/2/2024
ActivePacific Life Insurance Company301848Agent - Life7/8/2002 
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities7/8/20021/2/2024
InactivePrincipal Life Insurance Company300129Agent - Health4/25/200311/20/2009
InactivePrincipal Life Insurance Company300129Agent - Life4/25/200311/20/2009
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities4/25/200311/20/2009
ActivePruco Life Insurance Company300954Agent - Health12/15/2009 
ActivePruco Life Insurance Company300954Agent - Life12/15/2009 
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities12/15/20091/2/2024
InactiveSentinel Insurance Company, Limited501696Agent - Casualty6/24/20031/5/2004
InactiveSentinel Insurance Company, Limited501696Agent - Property6/24/20036/15/2009
InactiveStandard Guaranty Insurance Company300902Agent - Property5/1/20064/17/2008
ActiveState Life Insurance Company301497Agent - Health1/5/2011 
ActiveState Life Insurance Company301497Agent - Life1/5/2011 
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life1/13/201112/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities1/13/201112/31/2012
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 - Health2/28/2002 
ActiveTalcott Resolution Life Insurance Company301759Agent - Life2/28/2002 
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities2/28/20021/2/2024
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/19/2002 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/19/2002 
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/19/20021/2/2024
InactiveTesla Insurance Company300337Agent - Casualty4/22/20026/2/2003
InactiveTesla Insurance Company300337Agent - Property4/22/20026/2/2003
InactiveTime Insurance Company300683Agent - Health4/25/20052/8/2012
InactiveTime Insurance Company300683Agent - Life4/25/20052/8/2012
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/20086/23/2017
InactiveTransamerica Life Insurance Company300571Agent - Life8/31/20046/23/2017
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities8/31/20046/23/2017
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health12/5/200310/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life12/5/200310/1/2008
InactiveTranscontinental Insurance Company301731Agent - Property9/8/20049/27/2007
InactiveTransportation Insurance Company301575Agent - Property9/8/20042/19/2008
InactiveTwin City Fire Insurance Company300721Agent - Casualty4/8/20021/5/2004
InactiveTwin City Fire Insurance Company300721Agent - Property4/8/20026/15/2009
InactiveUnited Financial Casualty Company301886Agent - Casualty4/15/20021/5/2004
InactiveUnited Financial Casualty Company301886Agent - Property4/15/20028/27/2007
InactiveUnited of Omaha Life Insurance Company300156Agent - Health10/26/200912/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life10/26/200912/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Variable Life and Variable Annuities10/26/200912/26/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/14/20063/21/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/14/20063/21/2012
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/14/20063/21/2012
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/14/20063/21/2012
InactiveValley Forge Insurance Company301052Agent - Property9/8/20042/19/2008
InactiveWestern National Life Insurance Company300461Agent - Life11/20/200312/31/2012
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAlberti, Pete Lawrence 501705Agent - Casualty  
ActiveAlberti, Pete Lawrence 501705Agent - Health3/2/2005 
InactiveAlberti, Pete Lawrence 501705Agent - Life3/2/20058/17/2009
InactiveAlberti, Pete Lawrence 501705Agent - Property3/2/20053/22/2005
DeniedBrooks, Doris Jean 601980Agent - Casualty  
InactiveBrooks, Doris Jean 601980Agent - Property8/6/20076/15/2009
InactiveBrown, Daniel Hatley 591979Agent - Health3/2/20059/30/2006
InactiveBrown, Daniel Hatley 591979Agent - Life3/2/20059/30/2006
InactiveCole, Roger Lewis 557791Agent - Life3/2/20053/31/2011
InactiveCopeland, Glenda Wilson 384692Agent - Health3/2/20057/31/2011
InactiveCopeland, Glenda Wilson 384692Agent - Life3/2/20057/31/2011
InactiveDickenson, Darby W 590660Agent - Health4/12/20057/31/2011
InactiveDickenson, Darby W 590660Agent - Life3/2/20057/31/2011
InactiveDickenson, Darby W 590660Agent - Variable Life and Variable Annuities3/2/20057/31/2011
InactiveDombroski, John Jason 611774Agent - Life3/9/200712/8/2009
DeniedDunham, Robert John 818404Agent - Health  
DeniedDunham, Robert John 818404Agent - Life  
DeniedDunham, Robert John 818404Agent - Variable Life and Variable Annuities  
InactiveElder, Melissa 516437Agent - Property1/5/20048/6/2007
DeniedFreebing, William Thomas 563313Agent - Health  
DeniedFreebing, William Thomas 563313Agent - Life  
DeniedFreebing, William Thomas 563313Agent - Variable Life and Variable Annuities  
InactiveHardin, Michael Wm 590661Agent - Health3/2/20052/28/2010
InactiveHardin, Michael Wm 590661Agent - Life3/2/20052/28/2010
InactiveHardin, Michael Wm 590661Agent - Variable Life and Variable Annuities3/2/20052/28/2010
InactiveHeard, Robert Goodwyn 556218Agent - Health3/9/200712/11/2009
InactiveHeard, Robert Goodwyn 556218Agent - Life3/9/200712/11/2009
DeniedHeard, Robert Goodwyn 556218Agent - Variable Life and Variable Annuities  
DeniedHicks, Chris M 644379Agent - Health  
DeniedHicks, Chris M 644379Agent - Life  
DeniedHicks, Chris M 644379Agent - Variable Life and Variable Annuities  
InactiveHolcomb, Hampton Andrew 568433Agent - Health3/2/20051/31/2009
InactiveHolcomb, Hampton Andrew 568433Agent - Life3/2/20051/31/2009
DeniedHolcomb, Hampton Andrew 568433Agent - Variable Life and Variable Annuities  
InactiveHook, Julie A 539034Agent - Health3/2/200511/1/2008
InactiveHook, Julie A 539034Agent - Life3/2/200511/1/2008
InactiveHyde, Stacey Stephenson 596499Agent - Health3/2/200511/12/2012
InactiveHyde, Stacey Stephenson 596499Agent - Life3/2/200511/12/2012
DeniedJepson, Paul Iver 594069Agent - Health  
DeniedJepson, Paul Iver 594069Agent - Life  
DeniedJepson, Paul Iver 594069Agent - Variable Life and Variable Annuities  
InactiveKeller, John Leslie 543675Agent - Health2/28/200211/17/2013
InactiveKeller, John Leslie 543675Agent - Life2/28/20022/28/2014
InactiveKeller, John Leslie 543675Agent - Variable Life and Variable Annuities2/28/200211/17/2013
InactiveKeohan, Edward Craig 510874Agent - Health2/6/20076/30/2015
InactiveKeohan, Edward Craig 510874Agent - Life2/6/20076/30/2015
DeniedKost, Andrew W 609242Agent - Health  
DeniedKost, Andrew W 609242Agent - Life  
DeniedLoos, Jeffrey Alan 620449Agent - Health  
DeniedLoos, Jeffrey Alan 620449Agent - Life  
DeniedLoos, Jeffrey Alan 620449Agent - Variable Life and Variable Annuities  
InactiveLowery, April R. 645684Agent - Health3/12/200711/30/2009
InactiveLowery, April R. 645684Agent - Life3/12/200711/30/2009
InactiveLowery, April R. 645684Agent - Variable Life and Variable Annuities3/12/200711/30/2009
DeniedLyza, James Anthony 516673Agent - Casualty  
InactiveLyza, James Anthony 516673Agent - Health3/2/20052/6/2007
InactiveLyza, James Anthony 516673Agent - Life3/2/20052/6/2007
InactiveLyza, James Anthony 516673Agent - Property3/2/20052/6/2007
DeniedMason, Matthew C G 620246Agent - Health  
DeniedMason, Matthew C G 620246Agent - Life  
InactiveMcManus, Stephen 367951Agent - Health3/2/200510/31/2023
InactiveMcManus, Stephen 367951Agent - Life3/2/200510/31/2023
InactiveMcManus, Stephen 367951Agent - Variable Life and Variable Annuities3/2/200510/31/2023
InactiveNaifeh, Henry Joseph 572462Agent - Life3/2/20059/30/2012
InactivePearson, Jeffrey Doyle 590663Agent - Health3/2/20059/30/2012
InactivePearson, Jeffrey Doyle 590663Agent - Life3/2/20059/30/2012
InactivePearson, Jeffrey Doyle 590663Agent - Variable Life and Variable Annuities3/2/20059/30/2012
InactivePrendergast, William D 591643Agent - Health3/2/20052/6/2007
InactivePrendergast, William D 591643Agent - Life3/2/20052/6/2007
InactivePrendergast, William D 591643Agent - Variable Life and Variable Annuities3/2/20052/6/2007
InactivePritchard, Dudley Ernest 367011Agent - Health3/2/200511/23/2009
InactivePritchard, Dudley Ernest 367011Agent - Life3/2/200511/23/2009
DeniedPritchard, Dudley Ernest 367011Agent - Variable Life and Variable Annuities  
DeniedRidley, James C 354355Agent - Health  
DeniedRidley, James C 354355Agent - Life  
DeniedRidley, James C 354355Agent - Variable Life and Variable Annuities  
InactiveRush, Patrick Noel 576230Agent - Health3/2/20052/6/2007
InactiveRush, Patrick Noel 576230Agent - Life3/2/20052/6/2007
InactiveRush, Patrick Noel 576230Agent - Variable Life and Variable Annuities3/2/20052/6/2007
DeniedSatterfield, Mitzie Quarles 377137Agent - Casualty  
InactiveSatterfield, Mitzie Quarles 377137Agent - Health3/2/20058/31/2008
InactiveSatterfield, Mitzie Quarles 377137Agent - Life3/2/20058/31/2008
InactiveSatterfield, Mitzie Quarles 377137Agent - Property3/2/20058/31/2008
InactiveScott, Donald Eugene 610381Agent - Health2/6/20077/31/2008
InactiveScott, Donald Eugene 610381Agent - Life2/6/20077/31/2008
InactiveScott, Donald Eugene 610381Agent - Variable Life and Variable Annuities2/6/20077/31/2008
InactiveShelton, Brian Christopher 584416Agent - Health3/2/20055/25/2007
InactiveShelton, Brian Christopher 584416Agent - Life3/2/20055/25/2007
InactiveShelton, Brian Christopher 584416Agent - Variable Life and Variable Annuities3/2/20055/25/2007
InactiveSteih, William Adolph 536868Agent - Health3/2/20052/6/2007
InactiveSteih, William Adolph 536868Agent - Life3/2/20052/6/2007
InactiveSteih, William Adolph 536868Agent - Variable Life and Variable Annuities3/2/20052/6/2007
ActiveTaylor, James Paul 556606Agent - Health3/2/2005 
ActiveTaylor, James Paul 556606Agent - Life3/2/2005 
DeniedTaylor, James Paul 556606Agent - Variable Life and Variable Annuities  
InactiveThompson, William V 574256Agent - Life3/2/200511/30/2010
InactiveWhite, Christina Voss 590659Agent - Health3/2/20052/10/2007
InactiveWhite, Christina Voss 590659Agent - Life3/2/20058/31/2008
InactiveWhite, Christina Voss 590659Agent - Variable Life and Variable Annuities3/2/20058/31/2008
InactiveWidener, Amy W 522851Agent - Health4/1/200512/23/2008
InactiveWidener, Amy W 522851Agent - Life4/1/200512/23/2008
InactiveWidener, Amy W 522851Agent - Variable Life and Variable Annuities4/1/200512/23/2008
InactiveWitt, Todd Andrew 581348Agent - Life3/2/20052/6/2007
InactiveWitt, Todd Andrew 581348Agent - Variable Life and Variable Annuities3/2/20052/6/2007

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