DEPARTMENT OF INSURANCE
Affiliations
NameCapital Wealth ManagementDOIID717178NAIC NPN15202231
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife11/23/2021 3/31/2025
ActiveResidentAgentHealth11/23/2021 3/31/2025
DeniedResidentAgentVariable Life and Variable Annuities   
* 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
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health2/10/201412/22/2018
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/10/201412/22/2018
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life3/10/201412/18/2018
InactiveAmerican General Life Insurance Company301585Agent - Health4/7/201011/9/2012
InactiveAmerican General Life Insurance Company301585Agent - Life4/7/201011/9/2012
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/25/20113/31/2021
InactiveAnthem Insurance Companies, Inc.300941Agent - Health1/25/201110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health1/25/20113/31/2021
InactiveAnthem Life Insurance Company301209Agent - Life1/25/20113/31/2021
InactiveAssurity Life Insurance Company301099Agent - Health3/29/201012/17/2018
InactiveAssurity Life Insurance Company301099Agent - Life3/29/201012/17/2018
InactiveAthene Annuity & Life Assurance Company301798Agent - Life10/11/20138/13/2015
InactiveAtlantic Coast Life Insurance Company642114Agent - Life9/11/20193/31/2021
InactiveBankers Life Insurance Company301784Agent - Life8/7/20142/8/2019
ActiveBanner Life Insurance Company301696Agent - Life9/28/2023 
InactiveBrighthouse Life Insurance Company301829Agent - Life11/14/20143/31/2021
InactiveDelaware Life Insurance Company301256Agent - Life6/16/20173/31/2021
InactiveEquiTrust Life Insurance Company502870Agent - Life10/10/201311/18/2015
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life11/17/2022 
InactiveForethought Life Insurance Company301407Agent - Health3/23/20151/30/2017
InactiveForethought Life Insurance Company301407Agent - Life3/23/20151/30/2017
InactiveGenworth Life Insurance Company300623Agent - Health1/5/201512/14/2016
InactiveGenworth Life Insurance Company300623Agent - Life3/11/201012/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life12/4/200910/4/2012
InactiveGuaranty Income Life Insurance Company552451Agent - Health6/15/20163/31/2021
ActiveGuaranty Income Life Insurance Company552451Agent - Life3/19/2024 
InactiveIllinois Mutual Life Insurance Company301479Agent - Health3/19/201211/12/2015
InactiveIllinois Mutual Life Insurance Company301479Agent - Life3/19/201211/12/2015
InactiveInvestors Heritage Life Insurance Company300363Agent - Life11/20/20183/31/2021
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/24/20108/31/2018
InactiveLafayette Life Insurance Company (The)301039Agent - Health5/28/20133/31/2021
InactiveLafayette Life Insurance Company (The)301039Agent - Life5/28/20133/31/2021
ActiveLife Insurance Company of the Southwest301867Agent - Health9/12/2023 
ActiveLife Insurance Company of the Southwest301867Agent - Life9/12/2023 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health4/12/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/12/2022 
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life10/20/201710/29/2019
InactiveMetLife Investors USA Insurance Company300845Agent - Life6/4/201011/14/2014
InactiveMidland National Life Insurance Company300923Agent - Life8/23/20124/24/2017
InactiveNorth American Company for Life and Health Insurance300291Agent - Life10/12/20103/31/2021
ActiveOceanview Life and Annuity Company301868Agent - Life9/26/2022 
InactivePacific Life Insurance Company301848Agent - Health10/31/20163/31/2021
InactivePacific Life Insurance Company301848Agent - Life10/31/20163/31/2021
ActivePrincipal National Life Insurance Company301926Agent - Life11/18/2022 
InactivePruco Life Insurance Company300954Agent - Health5/27/201112/23/2014
InactivePruco Life Insurance Company300954Agent - Life5/27/201112/23/2014
InactiveReliaStar Life Insurance Company301712Agent - Health2/16/20123/9/2018
InactiveReliaStar Life Insurance Company301712Agent - Life2/16/20123/9/2018
InactiveReliance Standard Life Insurance Company300584Agent - Health10/20/20133/11/2016
InactiveReliance Standard Life Insurance Company300584Agent - Life10/20/20133/11/2016
InactiveSecurity Benefit Life Insurance Company300583Agent - Life10/14/20133/31/2021
InactiveSecurity Life of Denver Insurance Company300648Agent - Health2/16/201212/16/2017
InactiveSecurity Life of Denver Insurance Company300648Agent - Life2/16/201212/16/2017
ActiveTransamerica Life Insurance Company300571Agent - Health3/23/2023 
ActiveTransamerica Life Insurance Company300571Agent - Life3/23/2023 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health8/29/20114/6/2016
InactiveTransamerica Premier Life Insurance Company300558Agent - Life8/29/20114/6/2016
InactiveUnited of Omaha Life Insurance Company300156Agent - Health6/6/20234/22/2024
InactiveUnited of Omaha Life Insurance Company300156Agent - Life6/6/20234/22/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAtchison, Andrew Paul 714263Agent - Health3/17/201010/4/2010
ActiveGorter, Brent Allen 549646Agent - Health11/23/2021 
ActiveGorter, Brent Allen 549646Agent - Life11/23/2021 
DeniedGorter, Brent Allen 549646Agent - Variable Life and Variable Annuities  
InactiveRuch, Bradley Stuart 688556Agent - Health10/1/20103/31/2021
InactiveRuch, Bradley Stuart 688556Agent - Life10/1/20103/31/2021

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