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DEPARTMENT OF INSURANCE
Affiliations
Name
Lion Street Insurance Services, LLC
DOIID
701231
NAIC NPN
8916163
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
4/3/2009
3/31/2027
Active
Non Resident
Agent
Variable Life and Variable Annuities
10/2/2014
3/31/2027
Active
Non Resident
Agent
Health
4/3/2009
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
01/24/2025
01/24/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Allianz Life Insurance Company of North America
301791
Agent - Health
10/6/2014
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
10/6/2014
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
10/6/2014
Inactive
American General Life Insurance Company
301585
Agent - Health
11/7/2010
11/9/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
11/7/2010
11/9/2012
Inactive
American National Insurance Company
301861
Agent - Health
8/12/2017
5/10/2021
Active
American National Insurance Company
301861
Agent - Life
8/12/2017
Active
Brighthouse Life Insurance Company
301829
Agent - Health
7/15/2015
Active
Brighthouse Life Insurance Company
301829
Agent - Life
7/15/2015
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
7/15/2015
Active
Equitable Financial Life Insurance Company
300808
Agent - Health
6/8/2011
Active
Equitable Financial Life Insurance Company
300808
Agent - Life
6/8/2011
Active
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
11/14/2014
Active
Equitable Financial Life Insurance Company of America
301772
Agent - Health
3/6/2017
Active
Equitable Financial Life Insurance Company of America
301772
Agent - Life
3/6/2017
Active
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
3/6/2017
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
12/13/2013
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
12/13/2013
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
7/20/2022
Active
Life Insurance Company of the Southwest
301867
Agent - Health
5/29/2019
Active
Life Insurance Company of the Southwest
301867
Agent - Life
5/29/2019
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
4/5/2011
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
4/5/2011
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
1/13/2015
Active
Metropolitan Life Insurance Company
301948
Agent - Health
7/15/2015
Active
Metropolitan Life Insurance Company
301948
Agent - Life
7/15/2015
Active
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
7/15/2015
Inactive
Midland National Life Insurance Company
300923
Agent - Life
2/13/2019
4/7/2022
Active
National Life Insurance Company
301852
Agent - Health
5/29/2019
Active
National Life Insurance Company
301852
Agent - Life
5/29/2019
Active
Nationwide Life Insurance Company
300495
Agent - Health
7/8/2015
Active
Nationwide Life Insurance Company
300495
Agent - Life
7/8/2015
Active
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
7/8/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
2/25/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
2/25/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
7/8/2015
Active
North American Company for Life and Health Insurance
300291
Agent - Life
2/26/2021
Active
Pacific Life Insurance Company
301848
Agent - Health
10/2/2014
Active
Pacific Life Insurance Company
301848
Agent - Life
11/16/2015
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
11/16/2015
Active
Principal Life Insurance Company
300129
Agent - Health
4/5/2016
Active
Principal Life Insurance Company
300129
Agent - Life
4/5/2016
Active
Principal National Life Insurance Company
301926
Agent - Life
1/29/2015
Active
Pruco Life Insurance Company
300954
Agent - Life
10/17/2014
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
10/17/2014
Active
State Life Insurance Company
301497
Agent - Health
1/10/2016
Active
State Life Insurance Company
301497
Agent - Life
1/10/2016
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Burmeister, John Fredrick
881958
Agent - Health
10/30/2015
Active
Burmeister, John Fredrick
881958
Agent - Life
10/30/2015
Active
Burmeister, John Fredrick
881958
Agent - Variable Life and Variable Annuities
10/30/2015
Active
Carter, Robert Randolph
364821
Agent - Health
8/31/2011
Active
Carter, Robert Randolph
364821
Agent - Life
8/31/2011
Active
Carter, Robert Randolph
364821
Agent - Variable Life and Variable Annuities
10/2/2014
Inactive
Delp, Cleves R
697031
Agent - Health
4/3/2009
8/31/2011
Inactive
Delp, Cleves R
697031
Agent - Life
4/3/2009
8/31/2011
Active
Janecek, David Matthew
684636
Agent - Health
4/11/2019
Active
Janecek, David Matthew
684636
Agent - Life
4/11/2019
Denied
Janecek, David Matthew
684636
Agent - Variable Life and Variable Annuities
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