DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Adam KeithDOIID654194NAIC NPN9195282
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth1/24/2017 11/30/2026
ActiveResidentAgentVariable Life and Variable Annuities1/18/2017 11/30/2026
ActiveResidentAgentLife1/24/2017 11/30/2026
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health4/1/20211/15/2022
InactiveAmerican General Life Insurance Company301585Agent - Life4/1/20211/15/2022
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities4/1/20211/15/2022
ActiveAmerican United Life Insurance Company300498Agent - Health4/20/2020 
ActiveAmerican United Life Insurance Company300498Agent - Life4/20/2020 
ActiveAmerican United Life Insurance Company300498Agent - Variable Life and Variable Annuities4/20/2020 
InactiveAmeritas Life Insurance Corporation300126Agent - Health7/6/201512/1/2016
InactiveAmeritas Life Insurance Corporation300126Agent - Life7/6/201512/1/2016
InactiveAnthem Life Insurance Company301209Agent - Health6/7/201312/1/2016
InactiveAnthem Life Insurance Company301209Agent - Life6/7/201312/1/2016
InactiveAssurity Life Insurance Company301099Agent - Health6/14/201812/18/2018
InactiveAssurity Life Insurance Company301099Agent - Life6/14/201812/18/2018
ActiveBanner Life Insurance Company301696Agent - Life7/15/2024 
ActiveCincinnati Life Insurance Company (The)300601Agent - Health2/2/2017 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life2/2/2017 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health8/25/2023 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life8/25/2023 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities8/25/2023 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life4/22/201612/1/2016
InactiveMetLife Investors USA Insurance Company300845Agent - Health11/30/20096/24/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life11/30/20096/24/2014
ActiveNorthwestern Long Term Care Insurance Company300135Agent - Health1/25/2017 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Health1/25/2017 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Life1/25/2017 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Variable Life and Variable Annuities1/25/2017 
InactivePHL Variable Insurance Company300525Agent - Life10/11/201111/10/2016
ActivePrincipal Life Insurance Company300129Agent - Health8/24/2017 
ActivePrincipal Life Insurance Company300129Agent - Life8/24/2017 
ActivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities8/24/2017 
ActivePrincipal National Life Insurance Company301926Agent - Life8/20/2020 
InactiveProtective Life Insurance Company300638Agent - Health6/13/202111/23/2023
InactiveProtective Life Insurance Company300638Agent - Life6/13/202111/23/2023
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities6/13/202111/23/2023
ActivePruco Life Insurance Company300954Agent - Life10/23/2017 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities8/9/2024 
InactiveTransamerica Life Insurance Company300571Agent - Health6/13/201212/1/2016
InactiveTransamerica Life Insurance Company300571Agent - Life6/13/201212/1/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life6/7/201312/1/2016
InactiveDesignated Agent Company Inc.681257Agent - Health6/7/201312/1/2016
InactiveMedlink Inc400721Agent - Life2/1/20173/31/2024
InactiveMedlink Inc400721Agent - Health2/1/20173/31/2024

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