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DEPARTMENT OF INSURANCE
Affiliations
Name
Collins, Samuel Jason
DOIID
568253
NAIC NPN
7670582
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
12/4/2012
10/31/2026
Active
Resident
Agent
Variable Life and Variable Annuities
12/4/2012
10/31/2026
Active
Resident
Agent
Health
12/4/2012
10/31/2026
* 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 - Life
3/4/2021
12/13/2023
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
3/4/2021
12/2/2023
Inactive
American General Life Insurance Company
301585
Agent - Health
7/29/2019
1/15/2022
Inactive
American General Life Insurance Company
301585
Agent - Life
7/29/2019
1/15/2022
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
7/29/2019
1/15/2022
Active
Banner Life Insurance Company
301696
Agent - Life
4/26/2021
Active
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
7/28/2009
11/7/2012
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
7/28/2009
11/7/2012
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
5/21/2022
3/22/2023
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
5/21/2022
3/22/2023
Active
Forethought Life Insurance Company
301407
Agent - Health
11/12/2015
Active
Forethought Life Insurance Company
301407
Agent - Life
11/12/2015
Active
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
11/12/2015
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
5/8/2014
12/22/2016
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
5/8/2014
12/22/2016
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
11/13/2015
12/30/2020
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Variable Life and Variable Annuities
11/13/2015
12/30/2020
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
1/14/2020
1/4/2024
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
1/14/2020
1/4/2024
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
10/2/2006
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
10/2/2006
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
10/2/2006
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
10/2/2006
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
10/2/2006
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Variable Life and Variable Annuities
10/2/2006
4/2/2007
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
2/19/2004
11/1/2012
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
2/19/2004
11/1/2012
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
12/4/2012
10/25/2019
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
12/4/2012
10/25/2019
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
12/4/2012
10/25/2019
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
2/23/2011
11/1/2012
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
2/23/2011
11/1/2012
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
2/23/2011
11/1/2012
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
12/19/2012
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
12/19/2012
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
12/19/2012
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
12/19/2012
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
12/19/2012
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
12/19/2012
11/14/2014
Active
Metropolitan Life Insurance Company
301948
Agent - Health
10/17/2013
Active
Metropolitan Life Insurance Company
301948
Agent - Life
10/17/2013
Active
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
10/17/2013
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
6/25/2019
4/9/2024
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
6/25/2019
4/9/2024
Inactive
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
6/25/2019
4/9/2024
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
6/17/2013
12/15/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
6/17/2013
12/15/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
6/17/2013
12/15/2014
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
6/17/2013
12/15/2014
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
6/17/2013
12/15/2014
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
6/17/2013
12/15/2014
Active
Pacific Life Insurance Company
301848
Agent - Life
6/19/2013
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
6/19/2013
Active
Principal National Life Insurance Company
301926
Agent - Life
11/16/2016
Active
Principal National Life Insurance Company
301926
Agent - Variable Life and Variable Annuities
11/16/2016
Inactive
Protective Life Insurance Company
300638
Agent - Health
1/8/2020
11/23/2021
Inactive
Protective Life Insurance Company
300638
Agent - Life
1/8/2020
11/23/2021
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
1/8/2020
11/23/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Health
8/15/2007
11/1/2012
Inactive
Pruco Life Insurance Company
300954
Agent - Life
11/19/2020
12/23/2024
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
11/19/2020
12/23/2024
Inactive
Prudential Insurance Company of America
300784
Agent - Health
8/15/2007
11/1/2012
Inactive
Prudential Insurance Company of America
300784
Agent - Life
8/15/2007
11/1/2012
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
8/15/2007
11/1/2012
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
12/2/2004
12/15/2009
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
12/2/2004
11/30/2010
Inactive
Symetra Life Insurance Company
301691
Agent - Health
10/20/2016
12/20/2018
Inactive
Symetra Life Insurance Company
301691
Agent - Life
10/20/2016
12/20/2018
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
10/20/2016
12/20/2018
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
1/15/2014
12/24/2015
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
1/15/2014
12/24/2015
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
1/15/2014
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
1/15/2014
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
1/15/2014
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
1/15/2014
12/24/2015
Active
Transamerica Life Insurance Company
300571
Agent - Life
8/22/2016
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
8/22/2016
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
10/2/2013
8/22/2014
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
9/3/2003
8/28/2008
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
9/3/2003
8/28/2008
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Baird Insurance Services Inc
399048
Agent - Health
11/1/2019
Active
Baird Insurance Services Inc
399048
Agent - Life
11/1/2019
Active
Baird Insurance Services Inc
399048
Agent - Variable Life and Variable Annuities
11/1/2019
Inactive
J.J.B. Hilliard, W.L. Lyons, LLC
679616
Agent - Health
1/26/2015
3/31/2020
Inactive
J.J.B. Hilliard, W.L. Lyons, LLC
679616
Agent - Life
1/26/2015
3/31/2020
Inactive
J.J.B. Hilliard, W.L. Lyons, LLC
679616
Agent - Variable Life and Variable Annuities
1/26/2015
3/31/2020
Inactive
JJB Hilliard, WL Lyons LLC
526305
Agent - Health
12/18/2003
7/6/2011
Inactive
JJB Hilliard, WL Lyons LLC
526305
Agent - Life
12/18/2003
7/6/2011
Inactive
JJB Hilliard, WL Lyons LLC
526305
Agent - Variable Life and Variable Annuities
12/18/2003
7/6/2011
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