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DEPARTMENT OF INSURANCE
Affiliations
Name
Osaic Institutions, Inc.
DOIID
724602
NAIC NPN
7321418
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
3/23/2010
3/31/2026
Active
Non Resident
Agent
Variable Life and Variable Annuities
3/23/2010
3/31/2026
Inactive
Non Resident
Agent
Health
3/23/2010
4/1/2023
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
4/8/2014
4/1/2023
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
4/8/2014
Active
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
4/8/2014
Active
American Equity Investment Life Insurance Company
300389
Agent - Life
3/2/2021
Active
American General Life Insurance Company
301585
Agent - Life
12/31/2012
Active
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
8/24/2015
Active
Banner Life Insurance Company
301696
Agent - Life
2/8/2012
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
12/9/2010
4/1/2023
Active
Brighthouse Life Insurance Company
301829
Agent - Life
12/9/2010
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
12/9/2010
Inactive
CMFG Life Insurance Company
300929
Agent - Health
6/7/2021
4/1/2023
Active
CMFG Life Insurance Company
300929
Agent - Life
6/7/2021
Active
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
6/7/2021
Active
Eagle Life Insurance Company
701261
Agent - Life
3/20/2018
Active
Empower Annuity Insurance Company of America
300259
Agent - Life
4/24/2012
Active
Equitable Financial Life Insurance Company
300808
Agent - Life
8/26/2010
Active
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
8/26/2010
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
5/27/2022
4/5/2023
Active
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
5/27/2022
Active
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
1/7/2021
Active
Fidelity & Guaranty Life Insurance Company
301359
Agent - Variable Life and Variable Annuities
9/25/2024
Inactive
Forethought Life Insurance Company
301407
Agent - Health
3/1/2022
4/1/2023
Active
Forethought Life Insurance Company
301407
Agent - Life
3/1/2022
Active
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
3/1/2022
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
10/5/2011
Active
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
10/5/2011
Active
Integrity Life Insurance Company
301687
Agent - Life
4/1/2020
Active
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
4/1/2020
Active
Jackson National Life Insurance Company
300486
Agent - Life
10/15/2010
Active
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
10/15/2010
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
2/4/2011
4/1/2023
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
2/4/2011
Active
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
2/4/2011
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Life
8/10/2012
11/19/2015
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
9/7/2016
4/1/2023
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
9/7/2016
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
9/7/2016
Active
MassMutual Ascend Life Insurance Company
300320
Agent - Life
9/10/2019
Active
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
10/30/2020
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
4/27/2010
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
4/27/2010
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
4/27/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
4/27/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
4/27/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
4/27/2010
11/14/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
4/27/2010
4/1/2023
Active
Metropolitan Life Insurance Company
301948
Agent - Life
4/27/2010
Active
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
4/27/2010
Active
Midland National Life Insurance Company
300923
Agent - Life
8/12/2015
Active
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
8/8/2020
Active
National Western Life Insurance Company
301515
Agent - Life
3/1/2015
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
7/29/2015
4/1/2023
Active
Nationwide Life Insurance Company
300495
Agent - Life
7/29/2015
Active
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
7/29/2015
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
7/29/2015
4/1/2023
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
7/29/2015
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
7/29/2015
Active
New York Life Insurance and Annuity Corporation
300726
Agent - Life
3/11/2013
Active
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
3/11/2013
Active
North American Company for Life and Health Insurance
300291
Agent - Life
3/31/2014
Active
Oceanview Life and Annuity Company
301868
Agent - Life
8/14/2020
Active
Oxford Life Insurance Company
301079
Agent - Life
4/18/2023
Active
Pacific Life Insurance Company
301848
Agent - Life
10/15/2010
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
10/15/2010
Inactive
Principal Life Insurance Company
300129
Agent - Health
1/23/2023
4/1/2023
Active
Principal Life Insurance Company
300129
Agent - Life
1/23/2023
Active
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
1/23/2023
Active
Principal National Life Insurance Company
301926
Agent - Life
4/23/2021
Active
Protective Life Insurance Company
300638
Agent - Life
10/7/2011
Active
Pruco Life Insurance Company
300954
Agent - Life
10/5/2011
Active
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
10/5/2011
Inactive
Prudential Insurance Company of America
300784
Agent - Health
10/5/2011
4/1/2023
Active
Prudential Insurance Company of America
300784
Agent - Life
10/5/2011
Active
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
10/5/2011
Inactive
State Life Insurance Company
301497
Agent - Health
7/8/2016
4/1/2023
Active
State Life Insurance Company
301497
Agent - Life
7/8/2016
Inactive
Symetra Life Insurance Company
301691
Agent - Health
11/1/2013
4/1/2023
Active
Symetra Life Insurance Company
301691
Agent - Life
11/1/2013
Active
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
3/26/2025
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
9/29/2015
4/1/2023
Active
Transamerica Life Insurance Company
300571
Agent - Life
10/18/2010
Active
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
10/18/2010
Inactive
Vantis Life Insurance Company
572176
Agent - Life
3/30/2012
10/7/2019
Inactive
Western National Life Insurance Company
300461
Agent - Life
8/4/2010
12/31/2012
Inactive
Western and Southern Life Insurance Company
301744
Agent - Health
7/2/2020
4/1/2023
Active
Western and Southern Life Insurance Company
301744
Agent - Life
7/2/2020
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
4/1/2020
4/1/2023
Active
Western-Southern Life Assurance Company
301590
Agent - Life
4/1/2020
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Bambach, Scott Charles
654480
Agent - Health
10/21/2010
9/1/2015
Inactive
Bambach, Scott Charles
654480
Agent - Life
10/21/2010
9/1/2015
Inactive
Bambach, Scott Charles
654480
Agent - Variable Life and Variable Annuities
10/21/2010
9/1/2015
Denied
Carroll, Robert P
863454
Agent - Health
Inactive
Carroll, Robert P
863454
Agent - Life
7/15/2015
10/22/2024
Denied
Carroll, Robert P
863454
Agent - Variable Life and Variable Annuities
Inactive
Fulton, Baylor Havely
387987
Agent - Health
10/21/2010
10/31/2014
Inactive
Fulton, Baylor Havely
387987
Agent - Life
10/21/2010
10/31/2014
Inactive
Fulton, Baylor Havely
387987
Agent - Variable Life and Variable Annuities
10/21/2010
10/31/2014
Inactive
Huddleston, Thomas Wesley
724210
Agent - Health
3/23/2010
6/20/2014
Inactive
Huddleston, Thomas Wesley
724210
Agent - Life
3/23/2010
11/5/2014
Inactive
Huddleston, Thomas Wesley
724210
Agent - Variable Life and Variable Annuities
3/23/2010
11/5/2014
Denied
Morgan, Douglas Eugene
771244
Agent - Variable Life and Variable Annuities
Inactive
Parks, Lee Karen
696001
Agent - Health
9/27/2011
1/31/2023
Inactive
Parks, Lee Karen
696001
Agent - Life
9/27/2011
1/31/2023
Inactive
Parks, Lee Karen
696001
Agent - Variable Life and Variable Annuities
9/27/2011
1/31/2023
Inactive
Phipps, Steven Christopher
506539
Agent - Health
10/21/2010
11/30/2010
Active
Phipps, Steven Christopher
506539
Agent - Life
10/21/2010
Active
Phipps, Steven Christopher
506539
Agent - Variable Life and Variable Annuities
10/21/2010
Denied
Pietri, Angelo Vincent
1355807
Agent - Health
Active
Pietri, Angelo Vincent
1355807
Agent - Life
10/22/2024
Active
Pietri, Angelo Vincent
1355807
Agent - Variable Life and Variable Annuities
10/22/2024
Inactive
Poole, Tracy Allen
800071
Agent - Variable Life and Variable Annuities
1/11/2013
11/30/2015
Inactive
Schuhmann, Aaron R
363808
Agent - Health
10/21/2010
6/6/2011
Inactive
Schuhmann, Aaron R
363808
Agent - Life
10/21/2010
6/6/2011
Inactive
Schuhmann, Aaron R
363808
Agent - Variable Life and Variable Annuities
10/21/2010
2/25/2011
Denied
Swift, Eric Scott
854322
Agent - Health
Denied
Swift, Eric Scott
854322
Agent - Life
Denied
Swift, Eric Scott
854322
Agent - Variable Life and Variable Annuities
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