DEPARTMENT OF INSURANCE
Affiliations
NameMock, Debora FaulknerDOIID716394NAIC NPN1946420
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife1/16/2020 8/31/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities1/16/2020 8/31/2025
* 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Life8/30/20178/31/2019
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities8/30/20178/31/2019
InactiveBanner Life Insurance Company301696Agent - Life8/27/20179/7/2017
InactiveBrighthouse Life Insurance Company301829Agent - Life8/29/20179/7/2017
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities8/29/20179/7/2017
InactiveForethought Life Insurance Company301407Agent - Life8/15/20178/31/2019
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities8/15/20178/31/2019
InactiveJackson National Life Insurance Company300486Agent - Life8/26/201710/5/2017
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities8/26/201710/5/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Life8/14/20179/6/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities8/14/20179/6/2017
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life9/1/20178/31/2019
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities9/1/20178/31/2019
InactivePacific Life Insurance Company301848Agent - Life8/15/201711/26/2018
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/15/201711/26/2018
InactivePrincipal Life Insurance Company300129Agent - Life8/30/20178/31/2019
InactivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities8/30/20178/31/2019
InactivePrincipal National Life Insurance Company301926Agent - Life8/30/20178/31/2019
InactivePrincipal National Life Insurance Company301926Agent - Variable Life and Variable Annuities8/30/20178/31/2019
InactiveProtective Life Insurance Company300638Agent - Life8/30/20178/31/2019
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities8/30/20178/31/2019
InactivePruco Life Insurance Company300954Agent - Life8/29/20178/31/2019
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities8/29/20178/31/2019
InactiveTalcott Resolution Life Insurance Company301759Agent - Life11/17/201112/1/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities11/17/201112/1/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/17/20115/7/2014
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities11/17/20115/7/2014
InactiveTransamerica Life Insurance Company300571Agent - Life8/28/201710/11/2017
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities8/28/201710/11/2017
InactiveZurich American Life Insurance Company300216Agent - Life9/11/20175/8/2019
InactiveZurich American Life Insurance Company300216Agent - Variable Life and Variable Annuities9/11/20175/8/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSbhu Life Agency Inc689591Agent - Life8/14/20178/31/2019
InactiveSbhu Life Agency Inc689591Agent - Variable Life and Variable Annuities8/14/20178/31/2019
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Life10/2/20178/31/2019
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities10/2/20178/31/2019

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