DEPARTMENT OF INSURANCE
Affiliations
NamePolk, David KDOIID578632NAIC NPN972784
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/16/2003 10/31/2026
ActiveNon ResidentAgentLife10/16/2003 10/31/2026
ActiveNon ResidentAgentVariable Life and Variable Annuities7/31/2025 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Life Insurance Company301209Agent - Health1/30/200911/2/2016
InactiveAnthem Life Insurance Company301209Agent - Life1/30/200911/2/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/1/201612/19/2019
InactiveNassau Life Insurance Company301406Agent - Life1/8/20045/10/2006
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Health10/17/2003 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Life10/17/2003 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Variable Life and Variable Annuities8/2/2025 
InactivePHL Variable Insurance Company300525Agent - Life1/8/20045/10/2006
InactivePruco Life Insurance Company300954Agent - Health12/29/200312/23/2014
InactivePruco Life Insurance Company300954Agent - Life12/29/200312/23/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life1/30/200911/2/2016
InactiveDesignated Agent Company Inc.681257Agent - Health1/30/200911/2/2016
InactiveMedlink Inc400721Agent - Life2/23/20093/31/2024
InactiveMedlink Inc400721Agent - Health2/23/20093/31/2024

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