DEPARTMENT OF INSURANCE
Affiliations
NameZahorik Financial Services, Inc.DOIID612515NAIC NPN8519301
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife7/31/2019 3/31/2025
InactiveNon ResidentAgentHealth8/15/20056/28/2019 
InactiveNon ResidentAgentVariable Life and Variable Annuities8/15/20054/5/2016 
* 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
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveIntegrity Life Insurance Company301687Agent - Health1/20/20106/28/2019
ActiveIntegrity Life Insurance Company301687Agent - Life7/9/2020 
InactiveJackson National Life Insurance Company300486Agent - Life1/17/200912/4/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Health11/29/20076/28/2019
ActiveLincoln National Life Insurance Company (The)301382Agent - Life10/6/2021 
InactiveMidland National Life Insurance Company300923Agent - Health3/11/20099/8/2014
InactiveMidland National Life Insurance Company300923Agent - Life3/11/20096/1/2019
InactiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities3/11/20094/5/2016
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/17/200512/7/2006
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/17/200512/7/2006
InactiveReliaStar Life Insurance Company301712Agent - Health4/17/20093/9/2018
InactiveReliaStar Life Insurance Company301712Agent - Life4/17/20093/9/2018
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities4/17/20094/5/2016
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20083/7/2011
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life11/3/200510/1/2008
InactiveUNUM Life Insurance Company of America300817Agent - Health10/17/200512/7/2006
InactiveUNUM Life Insurance Company of America300817Agent - Life10/17/200512/7/2006
InactiveWest Coast Life Insurance Company301607Agent - Life10/28/200511/16/2011
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFazzini, Phillip A 344756Agent - Life2/16/200712/28/2007
InactiveMcIntosh, Judith Ann 364082Agent - Life2/16/20077/31/2009
ActiveRussell, Randy D 372708Agent - Life7/31/2019 
InactiveWilsey, William Dennis 302431Agent - Health8/15/20054/1/2019
InactiveWilsey, William Dennis 302431Agent - Life8/15/20054/1/2019
InactiveWilsey, William Dennis 302431Agent - Variable Life and Variable Annuities8/15/20054/5/2016

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