DEPARTMENT OF INSURANCE
Affiliations
NameCitizens Securities IncDOIID620785NAIC NPN2331530
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth3/31/2015 3/31/2025
ActiveNon ResidentAgentLife3/31/2015 3/31/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities3/31/2015 3/31/2025
* 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
ActiveAmerican General Life Insurance Company301585Agent - Life5/28/2024 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities5/28/2024 
ActiveAmica Life Insurance Company301676Agent - Life2/23/2024 
ActiveCMFG Life Insurance Company300929Agent - Health5/7/2018 
ActiveCMFG Life Insurance Company300929Agent - Life5/7/2018 
ActiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities5/7/2018 
InactiveColorado Bankers Life Insurance Company301845Agent - Life11/17/20177/17/2019
InactiveColorado Bankers Life Insurance Company301845Agent - Variable Life and Variable Annuities11/17/20177/18/2019
ActiveEagle Life Insurance Company701261Agent - Life10/14/2015 
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities12/21/2020 
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/27/20224/5/2023
ActiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/27/2022 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life8/31/2022 
ActiveForethought Life Insurance Company301407Agent - Health3/4/2022 
ActiveForethought Life Insurance Company301407Agent - Life3/4/2022 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities3/4/2022 
ActiveJackson National Life Insurance Company300486Agent - Life12/16/2019 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities12/16/2019 
InactiveLincoln Life Assurance Company of Boston301915Agent - Life9/9/201310/1/2014
ActiveLincoln National Life Insurance Company (The)301382Agent - Health1/8/2024 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life1/8/2024 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/8/2024 
ActiveMidland National Life Insurance Company300923Agent - Life6/13/2020 
ActiveMinnesota Life Insurance Company300488Agent - Life7/2/2015 
ActiveNationwide Life Insurance Company300495Agent - Health8/18/2015 
ActiveNationwide Life Insurance Company300495Agent - Life8/18/2015 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities8/18/2015 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health8/18/2015 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life8/18/2015 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities8/18/2015 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life7/15/2021 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities7/15/2021 
ActivePrincipal Life Insurance Company300129Agent - Health8/20/2023 
ActivePrincipal Life Insurance Company300129Agent - Life8/20/2023 
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities2/7/20063/31/2007
ActiveState Life Insurance Company301497Agent - Health8/22/2016 
ActiveState Life Insurance Company301497Agent - Life8/22/2016 
ActiveTransamerica Life Insurance Company300571Agent - Life7/14/2015 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities7/14/2015 
ActiveWestern-Southern Life Assurance Company301590Agent - Health4/10/2015 
ActiveWestern-Southern Life Assurance Company301590Agent - Life4/10/2015 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCherny, Mikhail 1324415Agent - Health6/4/2024 
ActiveCherny, Mikhail 1324415Agent - Life6/4/2024 
ActiveCherny, Mikhail 1324415Agent - Variable Life and Variable Annuities6/4/2024 
InactiveCoon, David B 803171Agent - Health2/14/20137/31/2014
InactiveCoon, David B 803171Agent - Life2/14/20137/31/2014
InactiveCoon, David B 803171Agent - Variable Life and Variable Annuities2/14/20137/31/2014
InactiveDunlap, Peter Austin 537652Agent - Health3/31/20156/12/2024
InactiveDunlap, Peter Austin 537652Agent - Life3/31/20156/12/2024
InactiveDunlap, Peter Austin 537652Agent - Variable Life and Variable Annuities3/31/20156/12/2024
InactiveStebenne, David R 620414Agent - Health3/16/20063/31/2007
InactiveStebenne, David R 620414Agent - Life12/23/20053/31/2007
InactiveStebenne, David R 620414Agent - Variable Life and Variable Annuities12/23/20053/30/2007

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