DEPARTMENT OF INSURANCE
Affiliations
NameMC Insurance Agency Services, LLCDOIID594191NAIC NPN5306610
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth9/20/20045/1/2018 
InactiveNon ResidentAgentVariable Life and Variable Annuities9/20/20045/1/2018 
InactiveNon ResidentAgentLife9/20/20045/1/2018 
* 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
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/29/200411/16/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life9/29/200411/16/2012
InactivePacific Life Insurance Company301848Agent - Life5/19/200912/8/2017
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities5/19/200912/8/2017
InactiveProvident Life and Accident Insurance Company301525Agent - Health5/9/200612/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life5/9/200612/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Health5/9/200612/30/2009
InactiveUNUM Life Insurance Company of America300817Agent - Life5/9/200612/30/2009
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBarens, Kristin Lucille 546190Agent - Health1/24/20051/14/2013
InactiveBarens, Kristin Lucille 546190Agent - Life1/24/20051/14/2013
InactiveBarens, Kristin Lucille 546190Agent - Variable Life and Variable Annuities1/24/200512/31/2010
InactiveBurlie, Jason Matthew 790389Agent - Health1/14/201311/18/2013
InactiveBurlie, Jason Matthew 790389Agent - Life1/14/201311/18/2013
InactiveBurlie, Jason Matthew 790389Agent - Variable Life and Variable Annuities1/14/201311/18/2013
InactiveClary, James M 388374Agent - Health1/24/20054/30/2010
InactiveClary, James M 388374Agent - Life1/24/20054/30/2010
InactiveClary, James M 388374Agent - Variable Life and Variable Annuities1/24/20054/30/2010
DeniedKarp, Stephen N 589793Agent - Health  
DeniedKarp, Stephen N 589793Agent - Life  
DeniedKarp, Stephen N 589793Agent - Variable Life and Variable Annuities  
InactiveLevitt, Harry 536034Agent - Health9/20/200411/9/2012
InactiveLevitt, Harry 536034Agent - Life9/20/200411/9/2012
InactiveLevitt, Harry 536034Agent - Variable Life and Variable Annuities9/20/20047/16/2009
InactiveMina, Magid J 595650Agent - Health1/24/20055/31/2005
InactiveMina, Magid J 595650Agent - Life1/24/20055/31/2005
DeniedMina, Magid J 595650Agent - Variable Life and Variable Annuities  
InactiveMullin, Peter William 318173Agent - Health1/24/20051/14/2013
InactiveMullin, Peter William 318173Agent - Life1/24/20051/14/2013
InactiveMullin, Peter William 318173Agent - Variable Life and Variable Annuities1/24/20051/14/2013
InactiveNance, Dean Allan 369844Agent - Life1/24/200512/29/2006
InactiveSegal, Kevin 810869Agent - Health11/18/20132/28/2018
InactiveSegal, Kevin 810869Agent - Life11/18/20132/28/2018
InactiveSegal, Kevin 810869Agent - Variable Life and Variable Annuities11/18/20132/28/2018

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