DEPARTMENT OF INSURANCE
Affiliations
NameAssoc Diversified Brkg IncDOIID612546NAIC NPN1913165
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities2/14/20072/1/2018 
InactiveNon ResidentAgentLife2/14/20072/1/2018 
InactiveNon ResidentAgentHealth2/14/20073/1/2011 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health3/12/20073/1/2011
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/12/20072/1/2018
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities8/19/20082/1/2018
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20122/1/2018
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/31/20122/1/2018
InactiveFortitude Life Insurance & Annuity Company301503Agent - Health9/15/20083/1/2011
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life9/15/200810/16/2017
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities9/15/200810/16/2017
InactiveJackson National Life Insurance Company300486Agent - Life9/3/20092/1/2018
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities9/3/20092/1/2018
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health3/2/20067/7/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/2/20067/7/2006
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/2/20067/7/2006
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/13/20112/1/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/13/20112/1/2018
InactivePruco Life Insurance Company300954Agent - Health5/6/20103/1/2011
InactivePruco Life Insurance Company300954Agent - Life5/6/201010/16/2017
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/6/201010/16/2017
InactiveState Life Insurance Company301497Agent - Life6/11/20122/1/2018
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life11/11/200912/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities11/11/200912/31/2012
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 - Life5/9/20122/1/2018
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities5/9/20122/1/2018
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life5/9/20122/1/2018
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities5/9/20122/1/2018
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCapozzi, David Michael 313828Agent - Health2/14/200712/31/2010
InactiveCapozzi, David Michael 313828Agent - Life2/14/200712/31/2010
InactiveCapozzi, David Michael 313828Agent - Variable Life and Variable Annuities2/13/200712/31/2010
InactiveHeppe, Robert B 365980Agent - Life3/9/20118/31/2016
InactiveHeppe, Robert B 365980Agent - Variable Life and Variable Annuities3/9/20118/31/2016
InactiveKiesel, Bernard 506304Agent - Health2/21/20073/31/2009
InactiveKiesel, Bernard 506304Agent - Life2/21/20073/31/2009
InactiveKiesel, Bernard 506304Agent - Variable Life and Variable Annuities2/21/20073/31/2009
InactiveSharpe, Steven Daniel 804537Agent - Life11/14/201611/30/2017
InactiveSharpe, Steven Daniel 804537Agent - Variable Life and Variable Annuities11/14/201611/30/2017

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