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DEPARTMENT OF INSURANCE
Affiliations
Name
Block, Randall Keith
DOIID
616221
NAIC NPN
8599197
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Pending Replacement CE Compliance
Resident
Agent
Life
7/23/2007
Pending Replacement CE Compliance
Resident
Agent
Variable Life and Variable Annuities
7/23/2007
Pending Replacement CE Compliance
Resident
Agent
Health
7/23/2007
* 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
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2025
03/31/2025
03/11/2025
03/11/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Pending Replacement
Allianz Life Insurance Company of North America
301791
Agent - Health
2/29/2016
Pending Replacement
Allianz Life Insurance Company of North America
301791
Agent - Life
2/29/2016
Pending Replacement
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
2/29/2016
Inactive
American General Life Insurance Company
301585
Agent - Health
10/8/2014
12/23/2019
Inactive
American General Life Insurance Company
301585
Agent - Life
10/8/2014
12/23/2019
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
10/8/2014
12/23/2019
Pending Replacement
American National Insurance Company
301861
Agent - Life
2/3/2022
Inactive
Assurity Life Insurance Company
301099
Agent - Health
7/12/2006
3/31/2007
Inactive
Assurity Life Insurance Company
301099
Agent - Life
7/12/2006
3/31/2007
Pending Replacement
Athene Annuity and Life Company
301893
Agent - Life
11/7/2017
Inactive
Banner Life Insurance Company
301696
Agent - Life
9/26/2014
9/5/2017
Pending Replacement
Brighthouse Life Insurance Company
301829
Agent - Health
10/7/2016
Pending Replacement
Brighthouse Life Insurance Company
301829
Agent - Life
10/7/2016
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
2/2/2006
4/1/2007
Inactive
Delaware Life Insurance Company
301256
Agent - Life
7/21/2016
12/21/2021
Inactive
First Colony Life Insurance Company
301179
Agent - Health
7/17/2006
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
7/17/2006
1/1/2007
Pending Replacement
Forethought Life Insurance Company
301407
Agent - Health
5/16/2018
Pending Replacement
Forethought Life Insurance Company
301407
Agent - Life
5/16/2018
Pending Replacement
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
5/16/2018
Pending Replacement
Fortitude Life Insurance & Annuity Company
301503
Agent - Health
8/3/2007
Pending Replacement
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
8/3/2007
Pending Replacement
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
8/3/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Health
1/8/2015
12/14/2016
Inactive
Genworth Life Insurance Company
300623
Agent - Life
1/8/2015
12/14/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
8/25/2010
1/5/2015
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
8/25/2010
1/5/2015
Pending Replacement
Jackson National Life Insurance Company
300486
Agent - Life
11/15/2008
Pending Replacement
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
7/27/2007
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
4/3/2019
10/26/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
4/3/2019
10/26/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
4/3/2019
10/26/2021
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Variable Life and Variable Annuities
7/13/2022
11/15/2024
Pending Replacement
Nationwide Life Insurance Company
300495
Agent - Health
1/12/2011
Pending Replacement
Nationwide Life Insurance Company
300495
Agent - Life
1/12/2011
Pending Replacement
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
1/12/2011
Pending Replacement
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
4/14/2015
Pending Replacement
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
4/14/2015
Pending Replacement
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
4/14/2015
Pending Replacement
North American Company for Life and Health Insurance
300291
Agent - Life
1/27/2021
Pending Replacement
Pacific Life Insurance Company
301848
Agent - Life
6/20/2013
Pending Replacement
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
6/20/2013
Pending Replacement
Principal National Life Insurance Company
301926
Agent - Life
5/24/2017
Inactive
Protective Life Insurance Company
300638
Agent - Health
6/25/2020
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Life
6/25/2020
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
6/25/2020
11/23/2023
Pending Replacement
Pruco Life Insurance Company
300954
Agent - Health
2/22/2010
Pending Replacement
Pruco Life Insurance Company
300954
Agent - Life
2/22/2010
Pending Replacement
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
2/22/2010
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
7/27/2016
7/5/2019
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
7/27/2016
7/5/2019
Inactive
Security Life of Denver Insurance Company
300648
Agent - Variable Life and Variable Annuities
7/27/2016
7/5/2019
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
10/20/2008
2/25/2013
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
10/20/2008
2/25/2013
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
10/20/2008
2/25/2013
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
10/20/2008
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
10/20/2008
11/16/2011
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
10/20/2008
11/16/2011
Pending Replacement
Transamerica Life Insurance Company
300571
Agent - Health
10/1/2020
Pending Replacement
Transamerica Life Insurance Company
300571
Agent - Life
10/7/2009
Pending Replacement
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
10/7/2009
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
10/1/2014
10/1/2020
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
10/1/2014
10/1/2020
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Variable Life and Variable Annuities
10/1/2014
10/1/2020
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
12/26/2006
3/31/2007
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
10/16/2017
5/18/2018
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
10/16/2017
5/18/2018
Pending Replacement
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
8/6/2007
Pending Replacement
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
8/6/2007
Pending Replacement
West Coast Life Insurance Company
301607
Agent - Health
7/12/2011
Pending Replacement
West Coast Life Insurance Company
301607
Agent - Life
7/12/2011
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Health
1/18/2013
10/1/2014
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Life
1/18/2013
10/1/2014
Inactive
Western Reserve Life Assurance Company of Ohio
300760
Agent - Variable Life and Variable Annuities
1/18/2013
10/1/2014
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Pending Replacement
World Financial Group Insurance Agency, LLC
400520
Agent - Health
7/1/2011
Pending Replacement
World Financial Group Insurance Agency, LLC
400520
Agent - Life
7/1/2011
Pending Replacement
World Financial Group Insurance Agency, LLC
400520
Agent - Variable Life and Variable Annuities
7/1/2011
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