DEPARTMENT OF INSURANCE
Affiliations
NameOsaic Institutions, Inc.DOIID724602NAIC NPN7321418
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities3/23/2010 3/31/2026
ActiveNon ResidentAgentLife3/23/2010 3/31/2026
InactiveNon ResidentAgentHealth3/23/20104/1/2023 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health4/8/20144/1/2023
ActiveAllianz Life Insurance Company of North America301791Agent - Life4/8/2014 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/8/2014 
ActiveAmerican Equity Investment Life Insurance Company300389Agent - Life3/2/2021 
ActiveAmerican General Life Insurance Company301585Agent - Life12/31/2012 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities8/24/2015 
ActiveBanner Life Insurance Company301696Agent - Life2/8/2012 
InactiveBrighthouse Life Insurance Company301829Agent - Health12/9/20104/1/2023
ActiveBrighthouse Life Insurance Company301829Agent - Life12/9/2010 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities12/9/2010 
InactiveCMFG Life Insurance Company300929Agent - Health6/7/20214/1/2023
ActiveCMFG Life Insurance Company300929Agent - Life6/7/2021 
ActiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities6/7/2021 
ActiveEagle Life Insurance Company701261Agent - Life3/20/2018 
ActiveEmpower Annuity Insurance Company of America300259Agent - Life4/24/2012 
ActiveEquitable Financial Life Insurance Company300808Agent - Life8/26/2010 
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities8/26/2010 
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/27/20224/5/2023
ActiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/27/2022 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life1/7/2021 
InactiveForethought Life Insurance Company301407Agent - Health3/1/20224/1/2023
ActiveForethought Life Insurance Company301407Agent - Life3/1/2022 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities3/1/2022 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life10/5/2011 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities10/5/2011 
ActiveIntegrity Life Insurance Company301687Agent - Life4/1/2020 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities4/1/2020 
ActiveJackson National Life Insurance Company300486Agent - Life10/15/2010 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/15/2010 
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health2/4/20114/1/2023
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life2/4/2011 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities2/4/2011 
InactiveLincoln Life Assurance Company of Boston301915Agent - Life8/10/201211/19/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/7/20164/1/2023
ActiveLincoln National Life Insurance Company (The)301382Agent - Life9/7/2016 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities9/7/2016 
ActiveMassMutual Ascend Life Insurance Company300320Agent - Life9/10/2019 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Life10/30/2020 
InactiveMetLife Investors Insurance Company301872Agent - Health4/27/201011/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life4/27/201011/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities4/27/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health4/27/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life4/27/201011/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities4/27/201011/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health4/27/20104/1/2023
ActiveMetropolitan Life Insurance Company301948Agent - Life4/27/2010 
ActiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities4/27/2010 
ActiveMidland National Life Insurance Company300923Agent - Life8/12/2015 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities8/8/2020 
ActiveNational Western Life Insurance Company301515Agent - Life3/1/2015 
InactiveNationwide Life Insurance Company300495Agent - Health7/29/20154/1/2023
ActiveNationwide Life Insurance Company300495Agent - Life7/29/2015 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities7/29/2015 
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health7/29/20154/1/2023
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life7/29/2015 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities7/29/2015 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life3/11/2013 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities3/11/2013 
ActiveNorth American Company for Life and Health Insurance300291Agent - Life3/31/2014 
ActiveOceanview Life and Annuity Company301868Agent - Life8/14/2020 
ActiveOxford Life Insurance Company301079Agent - Life4/18/2023 
ActivePacific Life Insurance Company301848Agent - Life10/15/2010 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities10/15/2010 
InactivePrincipal Life Insurance Company300129Agent - Health1/23/20234/1/2023
ActivePrincipal Life Insurance Company300129Agent - Life1/23/2023 
ActivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities1/23/2023 
ActivePrincipal National Life Insurance Company301926Agent - Life4/23/2021 
ActiveProtective Life Insurance Company300638Agent - Life10/7/2011 
ActivePruco Life Insurance Company300954Agent - Life10/5/2011 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities10/5/2011 
InactivePrudential Insurance Company of America300784Agent - Health10/5/20114/1/2023
ActivePrudential Insurance Company of America300784Agent - Life10/5/2011 
ActivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities10/5/2011 
InactiveState Life Insurance Company301497Agent - Health7/8/20164/1/2023
ActiveState Life Insurance Company301497Agent - Life7/8/2016 
InactiveSymetra Life Insurance Company301691Agent - Health11/1/20134/1/2023
ActiveSymetra Life Insurance Company301691Agent - Life11/1/2013 
InactiveTransamerica Life Insurance Company300571Agent - Health9/29/20154/1/2023
ActiveTransamerica Life Insurance Company300571Agent - Life10/18/2010 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities10/18/2010 
InactiveVantis Life Insurance Company572176Agent - Life3/30/201210/7/2019
InactiveWestern National Life Insurance Company300461Agent - Life8/4/201012/31/2012
InactiveWestern and Southern Life Insurance Company301744Agent - Health7/2/20204/1/2023
ActiveWestern and Southern Life Insurance Company301744Agent - Life7/2/2020 
InactiveWestern-Southern Life Assurance Company301590Agent - Health4/1/20204/1/2023
ActiveWestern-Southern Life Assurance Company301590Agent - Life4/1/2020 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBambach, Scott Charles 654480Agent - Health10/21/20109/1/2015
InactiveBambach, Scott Charles 654480Agent - Life10/21/20109/1/2015
InactiveBambach, Scott Charles 654480Agent - Variable Life and Variable Annuities10/21/20109/1/2015
DeniedCarroll, Robert P 863454Agent - Health  
ActiveCarroll, Robert P 863454Agent - Life7/15/2015 
DeniedCarroll, Robert P 863454Agent - Variable Life and Variable Annuities  
InactiveFulton, Baylor Havely 387987Agent - Health10/21/201010/31/2014
InactiveFulton, Baylor Havely 387987Agent - Life10/21/201010/31/2014
InactiveFulton, Baylor Havely 387987Agent - Variable Life and Variable Annuities10/21/201010/31/2014
InactiveHuddleston, Thomas Wesley 724210Agent - Health3/23/20106/20/2014
InactiveHuddleston, Thomas Wesley 724210Agent - Life3/23/201011/5/2014
InactiveHuddleston, Thomas Wesley 724210Agent - Variable Life and Variable Annuities3/23/201011/5/2014
DeniedMorgan, Douglas Eugene 771244Agent - Variable Life and Variable Annuities  
InactiveParks, Lee Karen 696001Agent - Health9/27/20111/31/2023
InactiveParks, Lee Karen 696001Agent - Life9/27/20111/31/2023
InactiveParks, Lee Karen 696001Agent - Variable Life and Variable Annuities9/27/20111/31/2023
InactivePhipps, Steven Christopher 506539Agent - Health10/21/201011/30/2010
ActivePhipps, Steven Christopher 506539Agent - Life10/21/2010 
ActivePhipps, Steven Christopher 506539Agent - Variable Life and Variable Annuities10/21/2010 
InactivePoole, Tracy Allen 800071Agent - Variable Life and Variable Annuities1/11/201311/30/2015
InactiveSchuhmann, Aaron R 363808Agent - Health10/21/20106/6/2011
InactiveSchuhmann, Aaron R 363808Agent - Life10/21/20106/6/2011
InactiveSchuhmann, Aaron R 363808Agent - Variable Life and Variable Annuities10/21/20102/25/2011
DeniedSwift, Eric Scott 854322Agent - Health  
DeniedSwift, Eric Scott 854322Agent - Life  
DeniedSwift, Eric Scott 854322Agent - Variable Life and Variable Annuities  

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