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DEPARTMENT OF INSURANCE
Affiliations
Name
Citizens Securities Inc
DOIID
620785
NAIC NPN
2331530
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
3/31/2015
3/31/2027
Active
Non Resident
Agent
Health
3/31/2015
3/31/2027
Active
Non Resident
Agent
Variable Life and Variable Annuities
3/31/2015
3/31/2027
* 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
03/03/2025
03/03/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
American General Life Insurance Company
301585
Agent - Life
5/28/2024
Active
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
5/28/2024
Active
Amica Life Insurance Company
301676
Agent - Life
2/23/2024
Active
CMFG Life Insurance Company
300929
Agent - Health
5/7/2018
Active
CMFG Life Insurance Company
300929
Agent - Life
5/7/2018
Active
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
5/7/2018
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Life
11/17/2017
7/17/2019
Inactive
Colorado Bankers Life Insurance Company
301845
Agent - Variable Life and Variable Annuities
11/17/2017
7/18/2019
Active
Eagle Life Insurance Company
701261
Agent - Life
10/14/2015
Active
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
12/21/2020
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
5/27/2022
4/5/2023
Active
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
5/27/2022
Active
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
8/31/2022
Active
Fidelity & Guaranty Life Insurance Company
301359
Agent - Variable Life and Variable Annuities
8/9/2024
Active
Forethought Life Insurance Company
301407
Agent - Health
3/4/2022
Active
Forethought Life Insurance Company
301407
Agent - Life
3/4/2022
Active
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
3/4/2022
Active
Jackson National Life Insurance Company
300486
Agent - Life
12/16/2019
Active
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
12/16/2019
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Life
9/9/2013
10/1/2014
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
1/8/2024
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
1/8/2024
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
1/8/2024
Active
Midland National Life Insurance Company
300923
Agent - Life
6/13/2020
Active
Minnesota Life Insurance Company
300488
Agent - Life
7/2/2015
Active
Nationwide Life Insurance Company
300495
Agent - Health
8/18/2015
Active
Nationwide Life Insurance Company
300495
Agent - Life
8/18/2015
Active
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
8/18/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
8/18/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
8/18/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
8/18/2015
Active
New York Life Insurance and Annuity Corporation
300726
Agent - Life
7/15/2021
Active
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
7/15/2021
Active
Principal Life Insurance Company
300129
Agent - Health
8/20/2023
Active
Principal Life Insurance Company
300129
Agent - Life
8/20/2023
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
2/7/2006
3/31/2007
Active
State Life Insurance Company
301497
Agent - Health
8/22/2016
Active
State Life Insurance Company
301497
Agent - Life
8/22/2016
Active
Transamerica Life Insurance Company
300571
Agent - Life
7/14/2015
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
7/14/2015
Active
Western-Southern Life Assurance Company
301590
Agent - Health
4/10/2015
Active
Western-Southern Life Assurance Company
301590
Agent - Life
4/10/2015
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Cherny, Mikhail
1324415
Agent - Health
6/4/2024
Active
Cherny, Mikhail
1324415
Agent - Life
6/4/2024
Active
Cherny, Mikhail
1324415
Agent - Variable Life and Variable Annuities
6/4/2024
Inactive
Coon, David B
803171
Agent - Health
2/14/2013
7/31/2014
Inactive
Coon, David B
803171
Agent - Life
2/14/2013
7/31/2014
Inactive
Coon, David B
803171
Agent - Variable Life and Variable Annuities
2/14/2013
7/31/2014
Inactive
Dunlap, Peter Austin
537652
Agent - Health
3/31/2015
6/12/2024
Inactive
Dunlap, Peter Austin
537652
Agent - Life
3/31/2015
6/12/2024
Inactive
Dunlap, Peter Austin
537652
Agent - Variable Life and Variable Annuities
3/31/2015
6/12/2024
Inactive
Stebenne, David R
620414
Agent - Health
3/16/2006
3/31/2007
Inactive
Stebenne, David R
620414
Agent - Life
12/23/2005
3/31/2007
Inactive
Stebenne, David R
620414
Agent - Variable Life and Variable Annuities
12/23/2005
3/30/2007
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