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DEPARTMENT OF INSURANCE
Affiliations
Name
Assoc Diversified Brkg Inc
DOIID
612546
NAIC NPN
1913165
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
2/14/2007
2/1/2018
Inactive
Non Resident
Agent
Life
2/14/2007
2/1/2018
Inactive
Non Resident
Agent
Health
2/14/2007
3/1/2011
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
3/12/2007
3/1/2011
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
3/12/2007
2/1/2018
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
8/19/2008
2/1/2018
Inactive
American General Life Insurance Company
301585
Agent - Life
12/31/2012
2/1/2018
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
12/31/2012
2/1/2018
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Health
9/15/2008
3/1/2011
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
9/15/2008
10/16/2017
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
9/15/2008
10/16/2017
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
9/3/2009
2/1/2018
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
9/3/2009
2/1/2018
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
3/2/2006
7/7/2006
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
3/2/2006
7/7/2006
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
3/2/2006
7/7/2006
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
5/13/2011
2/1/2018
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
5/13/2011
2/1/2018
Inactive
Pruco Life Insurance Company
300954
Agent - Health
5/6/2010
3/1/2011
Inactive
Pruco Life Insurance Company
300954
Agent - Life
5/6/2010
10/16/2017
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
5/6/2010
10/16/2017
Inactive
State Life Insurance Company
301497
Agent - Life
6/11/2012
2/1/2018
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
11/11/2009
12/31/2012
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
11/11/2009
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
12/31/2012
12/31/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Variable Life and Variable Annuities
12/31/2012
12/31/2012
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
5/9/2012
2/1/2018
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
5/9/2012
2/1/2018
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
5/9/2012
2/1/2018
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
5/9/2012
2/1/2018
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Capozzi, David Michael
313828
Agent - Health
2/14/2007
12/31/2010
Inactive
Capozzi, David Michael
313828
Agent - Life
2/14/2007
12/31/2010
Inactive
Capozzi, David Michael
313828
Agent - Variable Life and Variable Annuities
2/13/2007
12/31/2010
Inactive
Heppe, Robert B
365980
Agent - Life
3/9/2011
8/31/2016
Inactive
Heppe, Robert B
365980
Agent - Variable Life and Variable Annuities
3/9/2011
8/31/2016
Inactive
Kiesel, Bernard
506304
Agent - Health
2/21/2007
3/31/2009
Inactive
Kiesel, Bernard
506304
Agent - Life
2/21/2007
3/31/2009
Inactive
Kiesel, Bernard
506304
Agent - Variable Life and Variable Annuities
2/21/2007
3/31/2009
Inactive
Sharpe, Steven Daniel
804537
Agent - Life
11/14/2016
11/30/2017
Inactive
Sharpe, Steven Daniel
804537
Agent - Variable Life and Variable Annuities
11/14/2016
11/30/2017
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