DEPARTMENT OF INSURANCE
Affiliations
NameChustz, Adam MichaelDOIID626351NAIC NPN7124514
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth9/29/2010 6/30/2026
ActiveResidentAgentLife9/29/2010 6/30/2026
ActiveResidentAgentVariable Life and Variable Annuities9/29/2010 6/30/2026
* 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
Agent04/15/202406/30/202406/27/202406/27/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life9/26/201812/27/2021
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/26/201812/27/2021
ActiveAmerican General Life Insurance Company301585Agent - Health11/2/2021 
ActiveAmerican General Life Insurance Company301585Agent - Life9/3/2014 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities9/3/2014 
InactiveAmerican United Life Insurance Company300498Agent - Health11/23/20207/31/2023
InactiveAmerican United Life Insurance Company300498Agent - Life11/23/20207/31/2023
InactiveAmerican United Life Insurance Company300498Agent - Variable Life and Variable Annuities11/23/20207/31/2023
ActiveBanner Life Insurance Company301696Agent - Life11/23/2021 
ActiveBrighthouse Life Insurance Company301829Agent - Health3/7/2018 
ActiveBrighthouse Life Insurance Company301829Agent - Life3/7/2018 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities3/7/2018 
InactiveDelaware Life Insurance Company301256Agent - Life6/30/200610/23/2008
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities6/30/200610/23/2008
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life4/16/201912/21/2022
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities4/16/201912/21/2022
InactiveGeneral American Life Insurance Company300280Agent - Health4/7/200612/18/2009
InactiveGeneral American Life Insurance Company300280Agent - Life4/7/200612/18/2009
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities4/7/200612/18/2009
InactiveGenworth Life Insurance Company300623Agent - Health4/19/20068/27/2009
InactiveGenworth Life Insurance Company300623Agent - Life4/19/20068/27/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life2/27/20074/1/2009
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities2/27/20074/1/2009
InactiveJackson National Life Insurance Company300486Agent - Life10/17/20135/20/2024
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/17/20135/20/2024
InactiveJohn Hancock Life Insurance Company300821Agent - Health9/16/200812/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life12/12/200712/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health7/17/201311/19/2016
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life11/13/201910/8/2023
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities11/13/201910/8/2023
InactiveLincoln Benefit Life Company301110Agent - Health4/14/20067/1/2010
InactiveLincoln Benefit Life Company301110Agent - Life4/14/20067/1/2010
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities4/14/20067/1/2010
ActiveLincoln National Life Insurance Company (The)301382Agent - Health4/30/2018 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/30/2018 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/30/2018 
InactiveMetLife Investors Insurance Company301872Agent - Health10/4/201011/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life10/4/201011/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities10/4/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health10/4/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life10/4/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities10/4/201011/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health10/4/20101/26/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life10/4/20101/26/2018
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities10/4/20101/26/2018
ActiveMidland National Life Insurance Company300923Agent - Life10/1/2020 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities10/1/2020 
InactiveNew England Life Insurance Company300343Agent - Health4/7/200612/11/2009
InactiveNew England Life Insurance Company300343Agent - Life4/7/200612/11/2009
InactiveNew England Life Insurance Company300343Agent - Variable Life and Variable Annuities4/7/200612/11/2009
ActivePacific Life Insurance Company301848Agent - Health7/25/2013 
ActivePacific Life Insurance Company301848Agent - Life3/5/2018 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/5/2018 
ActivePrincipal Life Insurance Company300129Agent - Health8/2/2018 
ActivePrincipal Life Insurance Company300129Agent - Life8/2/2018 
ActivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities8/2/2018 
ActivePrincipal National Life Insurance Company301926Agent - Life11/4/2020 
ActivePrincipal National Life Insurance Company301926Agent - Variable Life and Variable Annuities11/4/2020 
ActiveProtective Life Insurance Company300638Agent - Health4/16/2023 
ActiveProtective Life Insurance Company300638Agent - Life4/16/2023 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/16/2023 
ActivePruco Life Insurance Company300954Agent - Life5/15/2018 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/15/2018 
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life7/29/20087/1/2010
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities7/29/20087/1/2010
ActiveSymetra Life Insurance Company301691Agent - Health9/19/2022 
ActiveSymetra Life Insurance Company301691Agent - Life9/19/2022 
ActiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities9/19/2022 
ActiveTalcott Resolution Life Insurance Company301759Agent - Life7/8/2020 
ActiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities7/8/2020 
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/3/201012/14/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities11/3/201012/14/2015
ActiveTransamerica Life Insurance Company300571Agent - Life7/15/2020 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities7/15/2020 
InactiveVenerable Insurance and Annuity Company301006Agent - Life3/26/20078/28/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities3/26/20078/28/2008
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Health5/28/2019 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Life5/28/2019 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities5/28/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Health10/5/20102/23/2018
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Life10/5/20102/23/2018
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Variable Life and Variable Annuities10/5/20102/23/2018
ActiveStifel Nicolaus & Company Inc400254Agent - Health2/20/2018 
ActiveStifel Nicolaus & Company Inc400254Agent - Life2/20/2018 
ActiveStifel Nicolaus & Company Inc400254Agent - Variable Life and Variable Annuities2/20/2018 

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