DEPARTMENT OF INSURANCE
Affiliations
NameDouglas, Virginia GraceDOIID611872NAIC NPN8518287
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentVariable Life and Variable Annuities8/28/200611/30/2014 
InactiveResidentAgentLife7/18/200511/30/2014 
InactiveResidentAgentHealth7/18/200511/30/2014 
* 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
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health7/18/20054/11/2006
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life7/18/20054/11/2006
InactiveAmerican Fidelity Assurance Company301004Agent - Health4/28/20068/26/2014
InactiveAmerican Fidelity Assurance Company301004Agent - Life4/28/20068/26/2014
InactiveAmerican Fidelity Assurance Company301004Agent - Variable Life and Variable Annuities9/6/20068/26/2014
InactiveTexas Life Insurance Company300345Agent - Life4/20/20069/17/2014
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health10/9/20061/7/2013
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health10/9/20061/7/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Fidelity General Agency Inc.399316Agent - Health1/30/20078/26/2014
InactiveAmerican Fidelity General Agency Inc.399316Agent - Life1/30/20079/17/2014
InactiveAmerican Fidelity General Agency Inc.399316Agent - Variable Life and Variable Annuities1/30/20078/26/2014

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