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DEPARTMENT OF INSURANCE
Affiliations
Name
D A Davidson And Co Inc Great Falls
DOIID
709080
NAIC NPN
659737
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Variable Life and Variable Annuities
7/9/2009
3/31/2025
Active
Non Resident
Agent
Life
7/9/2009
3/31/2025
Active
Non Resident
Agent
Health
7/9/2009
3/31/2025
* 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
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
6/27/2011
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
6/27/2011
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
6/27/2011
Active
American General Life Insurance Company
301585
Agent - Life
10/26/2022
Active
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
10/26/2022
Active
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
Active
CMFG Life Insurance Company
300929
Agent - Health
1/26/2023
Active
CMFG Life Insurance Company
300929
Agent - Life
1/26/2023
Active
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
1/26/2023
Active
Eagle Life Insurance Company
701261
Agent - Life
10/5/2021
Active
Forethought Life Insurance Company
301407
Agent - Health
3/13/2013
Active
Forethought Life Insurance Company
301407
Agent - Life
3/13/2013
Active
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
3/13/2013
Active
Integrity Life Insurance Company
301687
Agent - Life
10/20/2023
Active
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
10/20/2023
Active
Jackson National Life Insurance Company
300486
Agent - Life
10/13/2017
Active
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
10/25/2017
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
4/19/2010
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
4/19/2010
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
4/19/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
4/19/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
4/19/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
4/19/2010
11/14/2014
Active
Metropolitan Life Insurance Company
301948
Agent - Health
4/19/2010
Active
Metropolitan Life Insurance Company
301948
Agent - Life
4/19/2010
Active
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
4/19/2010
Active
Midland National Life Insurance Company
300923
Agent - Life
6/26/2020
Active
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
6/26/2020
Active
Nationwide Life Insurance Company
300495
Agent - Health
7/15/2024
Active
Nationwide Life Insurance Company
300495
Agent - Life
7/15/2024
Active
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
7/15/2024
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
7/15/2024
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
7/15/2024
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
7/15/2024
Active
New York Life Insurance and Annuity Corporation
300726
Agent - Life
10/10/2016
Active
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
9/4/2019
Active
Pacific Life Insurance Company
301848
Agent - Health
6/9/2016
Active
Pacific Life Insurance Company
301848
Agent - Life
6/9/2016
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
6/9/2016
Active
Transamerica Life Insurance Company
300571
Agent - Health
3/2/2012
Active
Transamerica Life Insurance Company
300571
Agent - Life
3/2/2012
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
10/31/2017
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Bebee, John Kenneth
708776
Agent - Health
7/9/2009
10/13/2017
Inactive
Bebee, John Kenneth
708776
Agent - Life
7/9/2009
10/13/2017
Inactive
Bebee, John Kenneth
708776
Agent - Variable Life and Variable Annuities
7/9/2009
10/13/2017
Denied
Campos, Michael
1161221
Agent - Health
Active
Campos, Michael
1161221
Agent - Life
10/24/2022
Active
Campos, Michael
1161221
Agent - Variable Life and Variable Annuities
10/24/2022
Inactive
Cross, Brittany Elaine
799941
Agent - Health
2/21/2020
5/24/2022
Inactive
Cross, Brittany Elaine
799941
Agent - Life
2/18/2020
5/24/2022
Inactive
Cross, Brittany Elaine
799941
Agent - Variable Life and Variable Annuities
2/18/2020
5/24/2022
Denied
Dockter, Michelle E
1167526
Agent - Health
Active
Dockter, Michelle E
1167526
Agent - Life
3/22/2023
Active
Dockter, Michelle E
1167526
Agent - Variable Life and Variable Annuities
3/22/2023
Denied
Koesters, Susan R
1075882
Agent - Life
Denied
Koesters, Susan R
1075882
Agent - Variable Life and Variable Annuities
Active
Longfellow, Kassie L
1263336
Agent - Health
6/25/2023
Active
Longfellow, Kassie L
1263336
Agent - Life
5/5/2023
Active
Longfellow, Kassie L
1263336
Agent - Variable Life and Variable Annuities
5/5/2023
Active
Mendez, Matthew Leon
1194753
Agent - Life
8/3/2022
Active
Mendez, Matthew Leon
1194753
Agent - Variable Life and Variable Annuities
8/3/2022
Inactive
Sharpe, Dylan Thomas
1203817
Agent - Health
5/26/2022
6/25/2024
Inactive
Sharpe, Dylan Thomas
1203817
Agent - Life
5/26/2022
6/25/2024
Inactive
Sharpe, Dylan Thomas
1203817
Agent - Variable Life and Variable Annuities
5/26/2022
6/25/2024
Inactive
Taylor, Jeffrey Lawrence
769473
Agent - Health
10/13/2017
4/30/2020
Inactive
Taylor, Jeffrey Lawrence
769473
Agent - Life
10/13/2017
4/30/2020
Inactive
Taylor, Jeffrey Lawrence
769473
Agent - Variable Life and Variable Annuities
10/25/2017
4/30/2020
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