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DEPARTMENT OF INSURANCE
Affiliations
Name
Ellis, Adam Keith
DOIID
654194
NAIC NPN
9195282
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Health
1/24/2017
11/30/2026
Active
Resident
Agent
Variable Life and Variable Annuities
1/18/2017
11/30/2026
Active
Resident
Agent
Life
1/24/2017
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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American General Life Insurance Company
301585
Agent - Health
4/1/2021
1/15/2022
Inactive
American General Life Insurance Company
301585
Agent - Life
4/1/2021
1/15/2022
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
4/1/2021
1/15/2022
Active
American United Life Insurance Company
300498
Agent - Health
4/20/2020
Active
American United Life Insurance Company
300498
Agent - Life
4/20/2020
Active
American United Life Insurance Company
300498
Agent - Variable Life and Variable Annuities
4/20/2020
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Health
7/6/2015
12/1/2016
Inactive
Ameritas Life Insurance Corporation
300126
Agent - Life
7/6/2015
12/1/2016
Inactive
Anthem Life Insurance Company
301209
Agent - Health
6/7/2013
12/1/2016
Inactive
Anthem Life Insurance Company
301209
Agent - Life
6/7/2013
12/1/2016
Inactive
Assurity Life Insurance Company
301099
Agent - Health
6/14/2018
12/18/2018
Inactive
Assurity Life Insurance Company
301099
Agent - Life
6/14/2018
12/18/2018
Active
Banner Life Insurance Company
301696
Agent - Life
7/15/2024
Active
Cincinnati Life Insurance Company (The)
300601
Agent - Health
2/2/2017
Active
Cincinnati Life Insurance Company (The)
300601
Agent - Life
2/2/2017
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
8/25/2023
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
8/25/2023
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
8/25/2023
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
4/22/2016
12/1/2016
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
11/30/2009
6/24/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
11/30/2009
6/24/2014
Active
Northwestern Long Term Care Insurance Company
300135
Agent - Health
1/25/2017
Active
Northwestern Mutual Life Insurance Company
300931
Agent - Health
1/25/2017
Active
Northwestern Mutual Life Insurance Company
300931
Agent - Life
1/25/2017
Active
Northwestern Mutual Life Insurance Company
300931
Agent - Variable Life and Variable Annuities
1/25/2017
Inactive
PHL Variable Insurance Company
300525
Agent - Life
10/11/2011
11/10/2016
Active
Principal Life Insurance Company
300129
Agent - Health
8/24/2017
Active
Principal Life Insurance Company
300129
Agent - Life
8/24/2017
Active
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
8/24/2017
Active
Principal National Life Insurance Company
301926
Agent - Life
8/20/2020
Inactive
Protective Life Insurance Company
300638
Agent - Health
6/13/2021
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Life
6/13/2021
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
6/13/2021
11/23/2023
Active
Pruco Life Insurance Company
300954
Agent - Life
10/23/2017
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
8/9/2024
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
6/13/2012
12/1/2016
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
6/13/2012
12/1/2016
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
6/7/2013
12/1/2016
Inactive
Designated Agent Company Inc.
681257
Agent - Health
6/7/2013
12/1/2016
Inactive
Medlink Inc
400721
Agent - Life
2/1/2017
3/31/2024
Inactive
Medlink Inc
400721
Agent - Health
2/1/2017
3/31/2024
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