DEPARTMENT OF INSURANCE
Affiliations
NameJefferson National Securities CorporationDOIID729663NAIC NPN15797224
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLife6/8/20103/31/2020 
InactiveResidentAgentVariable Life and Variable Annuities6/4/20103/31/2020 
* 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
InactiveJefferson National Life Insurance Company300258Agent - Variable Life and Variable Annuities6/10/20103/31/2020
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDouglas, Eric Thomas 685877Agent - Life6/22/201010/31/2011
InactiveDouglas, Eric Thomas 685877Agent - Variable Life and Variable Annuities6/22/201010/31/2011
InactiveMattingly, Amy Marie 657498Agent - Life1/6/20123/31/2020
InactiveMattingly, Amy Marie 657498Agent - Variable Life and Variable Annuities1/6/20123/31/2020

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