DEPARTMENT OF INSURANCE
Affiliations
NameEisert, Terry ADOIID582183NAIC NPN2256998
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities12/22/2003 1/31/2025
ActiveNon ResidentAgentHealth12/22/2003 1/31/2025
ActiveNon ResidentAgentLife12/22/2003 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health6/26/201312/23/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Life6/26/201312/23/2013
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities6/26/201312/23/2013
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health6/9/20066/5/2013
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life7/23/201312/23/2014
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities7/23/201312/23/2014
InactiveJackson National Life Insurance Company300486Agent - Life4/16/20124/12/2021
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities4/16/20124/12/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Health2/21/20225/28/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Life2/21/20225/28/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities2/21/20225/28/2024
InactivePacific Life Insurance Company301848Agent - Health7/19/20189/22/2020
InactivePacific Life Insurance Company301848Agent - Life7/19/20189/22/2020
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities7/19/20189/22/2020
InactivePruco Life Insurance Company300954Agent - Health2/22/20106/5/2013
InactivePruco Life Insurance Company300954Agent - Life7/23/201312/22/2016
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities7/23/201312/22/2016
ActiveTransamerica Life Insurance Company300571Agent - Life8/9/2013 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities8/9/2013 
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/16/20048/27/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities1/16/20048/27/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTBS Agency, Inc.502294Agent - Life4/5/20105/29/2013
InactiveTBS Agency, Inc.502294Agent - Variable Life and Variable Annuities4/5/20105/29/2013

© Commonwealth of Kentucky. All rights reserved.