DEPARTMENT OF INSURANCE
Affiliations
NameBlackburn, Jeffrey DOIID554844NAIC NPN7384213
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife1/26/2010 1/31/2025
ActiveResidentAgentVariable Life and Variable Annuities1/10/2011 1/31/2025
ActiveResidentAgentHealth6/17/2014 1/31/2025
* 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
Agent11/15/202401/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life5/12/2010 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities6/17/2011 
ActiveAmerican General Life Insurance Company301585Agent - Health8/30/2016 
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 
InactiveDelaware Life Insurance Company301256Agent - Life7/4/201511/21/2022
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities7/4/201511/21/2022
InactiveEmpower Annuity Insurance Company of America300259Agent - Life10/13/201410/7/2022
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities10/24/2019 
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/21/20223/22/2023
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/21/20223/22/2023
InactiveEverlake Life Insurance Company300873Agent - Life8/6/201411/5/2021
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities8/6/201411/5/2021
ActiveForethought Life Insurance Company301407Agent - Health7/17/2014 
ActiveForethought Life Insurance Company301407Agent - Life7/17/2014 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities7/17/2014 
ActiveIntegrity Life Insurance Company301687Agent - Life9/25/2015 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities9/25/2015 
InactiveJackson National Life Insurance Company300486Agent - Life3/18/20115/13/2014
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities3/18/20115/13/2014
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health7/14/201712/29/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life7/14/201712/29/2020
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities11/9/20111/21/2017
InactiveLincoln Life Assurance Company of Boston301915Agent - Life4/30/201410/10/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Life1/29/201011/7/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities7/19/201211/7/2018
ActiveMassMutual Ascend Life Insurance Company300320Agent - Life2/4/2020 
InactiveMetLife Investors USA Insurance Company300845Agent - Health6/24/201411/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life2/15/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities7/31/201211/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health6/24/20144/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life5/2/20144/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities5/2/20144/28/2018
ActiveMinnesota Life Insurance Company300488Agent - Health3/16/2018 
ActiveMinnesota Life Insurance Company300488Agent - Life3/16/2018 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities3/16/2018 
ActiveNationwide Life Insurance Company300495Agent - Health2/9/2024 
ActiveNationwide Life Insurance Company300495Agent - Life2/9/2024 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities2/9/2024 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health5/15/2023 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life5/15/2023 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities5/15/2023 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life8/4/2014 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities8/4/2014 
ActivePacific Life Insurance Company301848Agent - Health6/20/2014 
ActivePacific Life Insurance Company301848Agent - Life7/25/2012 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities7/25/2012 
ActivePrincipal Life Insurance Company300129Agent - Health8/12/2014 
ActivePrincipal Life Insurance Company300129Agent - Life8/12/2014 
ActivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities9/29/2014 
InactiveProtective Life Insurance Company300638Agent - Health12/26/201411/23/2019
InactiveProtective Life Insurance Company300638Agent - Life12/26/201411/23/2019
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities12/26/201411/23/2019
InactivePruco Life Insurance Company300954Agent - Life8/16/201812/21/2022
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities8/16/201812/21/2022
ActiveState Life Insurance Company301497Agent - Health9/12/2023 
ActiveState Life Insurance Company301497Agent - Life9/12/2023 
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life6/15/201112/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities6/15/201112/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Life12/31/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Variable Life and Variable Annuities12/31/201212/31/2012
ActiveSymetra Life Insurance Company301691Agent - Health7/31/2014 
ActiveSymetra Life Insurance Company301691Agent - Life7/31/2014 
ActiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities7/31/2014 
InactiveTalcott Resolution Life Insurance Company301759Agent - Life8/7/201411/19/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities8/7/201411/19/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life8/7/201411/19/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities8/7/201411/19/2015
InactiveTransamerica Financial Life Insurance Company301288Agent - Life11/27/20125/13/2014
InactiveTransamerica Financial Life Insurance Company301288Agent - Variable Life and Variable Annuities11/27/20125/13/2014
ActiveTransamerica Life Insurance Company300571Agent - Life10/15/2010 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities3/21/2011 
ActiveWestern-Southern Life Assurance Company301590Agent - Health8/18/2014 
ActiveWestern-Southern Life Assurance Company301590Agent - Life8/18/2014 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMerrill Lynch Life Agency Inc.400527Agent - Life1/12/20115/12/2014
InactiveMerrill Lynch Life Agency Inc.400527Agent - Variable Life and Variable Annuities1/18/20115/12/2014
ActiveStifel Nicolaus & Company Inc400254Agent - Life4/15/2011 
ActiveStifel Nicolaus & Company Inc400254Agent - Variable Life and Variable Annuities4/15/2011 
InactiveU S Bancorp Ins Services L L C400253Agent - Life4/29/20144/2/2020
InactiveU S Bancorp Ins Services L L C400253Agent - Variable Life and Variable Annuities4/29/20144/2/2020
InactiveU S Bancorp Ins Services L L C400253Agent - Health6/17/20144/2/2020
ActiveUS Bancorp Investments, Inc.572662Agent - Life4/29/2014 
ActiveUS Bancorp Investments, Inc.572662Agent - Variable Life and Variable Annuities4/29/2014 
ActiveUS Bancorp Investments, Inc.572662Agent - Health6/17/2014 

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