DEPARTMENT OF INSURANCE
Affiliations
NameBrokersxpress LLCDOIID609303NAIC NPN8460377
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife3/31/20103/31/2013 
InactiveNon ResidentAgentHealth3/31/20103/31/2013 
InactiveNon ResidentAgentVariable Life and Variable Annuities3/31/20103/31/2013 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Health9/21/20119/4/2012
InactiveAllianz Life Insurance Company of North America301791Agent - Life9/21/20119/4/2012
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/21/20119/4/2012
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20123/31/2013
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/31/20123/31/2013
InactiveAmeritas Life Insurance Corporation300126Agent - Health9/17/20054/1/2009
InactiveAmeritas Life Insurance Corporation300126Agent - Life9/17/20054/1/2009
InactiveAmeritas Life Insurance Corporation300126Agent - Variable Life and Variable Annuities5/1/20074/1/2009
InactiveAmeritas Variable Life Insurance Company300665Agent - Life9/16/20055/1/2007
InactiveAmeritas Variable Life Insurance Company300665Agent - Variable Life and Variable Annuities9/16/20055/1/2007
InactiveEquitable Financial Life Insurance Company300808Agent - Life7/19/20064/1/2009
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities7/19/20064/1/2009
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health8/17/20074/1/2009
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life4/20/201011/6/2012
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities4/20/201011/6/2012
InactiveGenworth Life Insurance Company300623Agent - Life2/27/20064/1/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health2/27/20064/1/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life2/27/20064/1/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities2/27/20064/1/2009
InactiveJackson National Life Insurance Company300486Agent - Life10/6/20054/1/2009
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/15/20054/1/2009
InactiveJefferson National Life Insurance Company300258Agent - Life10/7/20084/1/2009
InactiveJefferson National Life Insurance Company300258Agent - Variable Life and Variable Annuities10/7/20084/1/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health2/13/20064/1/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life2/13/20064/1/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities2/13/20064/1/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Health8/29/20054/1/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Life8/29/20054/1/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities8/29/20054/1/2009
InactiveMetLife Investors Insurance Company301872Agent - Health5/10/20109/4/2012
InactiveMetLife Investors Insurance Company301872Agent - Life5/10/20109/4/2012
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities5/10/20109/4/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Health5/10/20109/4/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Life5/10/20109/4/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities5/10/20109/4/2012
InactiveMinnesota Life Insurance Company300488Agent - Health12/20/20109/4/2012
InactiveMinnesota Life Insurance Company300488Agent - Life12/20/20109/4/2012
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities12/20/20109/4/2012
InactiveNationwide Life Insurance Company300495Agent - Health8/18/20054/1/2009
InactiveNationwide Life Insurance Company300495Agent - Life8/18/20054/1/2009
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities8/18/20054/1/2009
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life8/18/20054/1/2009
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities8/18/20054/1/2009
InactivePacific Life Insurance Company301848Agent - Life9/1/20054/1/2009
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities9/1/20054/1/2009
InactiveProtective Life Insurance Company300638Agent - Health8/24/20074/1/2009
InactiveProtective Life Insurance Company300638Agent - Life8/24/20074/1/2009
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities8/24/20074/1/2009
InactivePruco Life Insurance Company300954Agent - Health5/6/201011/6/2012
InactivePruco Life Insurance Company300954Agent - Life5/6/201011/6/2012
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/6/201011/6/2012
InactiveReliaStar Life Insurance Company301712Agent - Health7/22/20084/1/2009
InactiveReliaStar Life Insurance Company301712Agent - Life7/22/20084/1/2009
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities7/22/20084/1/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Health7/22/20084/1/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Life7/22/20084/1/2009
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities7/22/20084/1/2009
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life1/14/201112/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities1/14/201112/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Life12/31/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Variable Life and Variable Annuities12/31/201212/31/2012
InactiveTalcott Resolution Life Insurance Company301759Agent - Health7/9/20122/11/2013
InactiveTalcott Resolution Life Insurance Company301759Agent - Life7/9/20122/11/2013
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities7/9/20122/11/2013
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health7/9/20122/11/2013
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life7/9/20122/11/2013
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities7/9/20122/11/2013
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBernhard, Brandon L 556802Agent - Health10/15/201010/29/2010
InactiveBernhard, Brandon L 556802Agent - Life10/15/201010/29/2010
DeniedBernhard, Brandon L 556802Agent - Variable Life and Variable Annuities  
InactiveDowell, Douglas C 609173Agent - Health8/4/20051/31/2009
InactiveDowell, Douglas C 609173Agent - Life6/28/20051/31/2009
InactiveDowell, Douglas C 609173Agent - Variable Life and Variable Annuities8/4/20051/31/2009
InactiveEsposito, Michael N 722629Agent - Health3/31/20109/23/2010
InactiveEsposito, Michael N 722629Agent - Life3/31/20109/23/2010
InactiveEsposito, Michael N 722629Agent - Variable Life and Variable Annuities3/31/20109/23/2010
InactiveStiner, Christopher Jason 737717Agent - Health10/6/20103/24/2011
InactiveStiner, Christopher Jason 737717Agent - Life10/6/20103/24/2011
InactiveStiner, Christopher Jason 737717Agent - Variable Life and Variable Annuities10/6/20103/24/2011
DeniedTriemstra, Joel M 660863Agent - Health  
DeniedTriemstra, Joel M 660863Agent - Life  
DeniedTriemstra, Joel M 660863Agent - Variable Life and Variable Annuities  
InactiveVeinot, Jason W 355543Agent - Health4/1/20113/31/2013
InactiveVeinot, Jason W 355543Agent - Life4/1/20113/31/2013
InactiveVeinot, Jason W 355543Agent - Variable Life and Variable Annuities4/1/20113/31/2013

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