DEPARTMENT OF INSURANCE
Affiliations
NameZack, Jeffrey KennethDOIID736403NAIC NPN15724046
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth9/13/201011/1/2012 
InactiveResidentAgentLife9/13/201011/1/2012 
InactiveResidentAgentVariable Life and Variable Annuities9/13/201011/1/2012 
* 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
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/28/201111/1/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/28/201111/1/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Health1/18/201111/9/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Life1/18/201111/9/2012
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/18/201111/9/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Health2/23/201111/1/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Life2/23/201111/1/2012
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities2/23/201111/1/2012
InactiveMetropolitan Life Insurance Company301948Agent - Health7/23/201211/1/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life7/23/201211/1/2012
InactiveMinnesota Life Insurance Company300488Agent - Health9/15/201011/16/2012
InactiveMinnesota Life Insurance Company300488Agent - Life9/15/201011/16/2012
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities9/15/201011/16/2012
InactiveNationwide Life Insurance Company300495Agent - Health9/16/201011/24/2012
InactiveNationwide Life Insurance Company300495Agent - Life9/16/201011/24/2012
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities9/16/201011/24/2012
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health6/4/201211/24/2012
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life9/16/201011/24/2012
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities9/16/201011/24/2012
InactiveReliaStar Life Insurance Company301712Agent - Health3/29/201111/1/2012
InactiveReliaStar Life Insurance Company301712Agent - Life3/29/201111/1/2012
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities3/29/201111/1/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveW & R Insurance Agency398729Agent - Health9/16/201010/29/2012
InactiveW & R Insurance Agency398729Agent - Life9/16/201010/29/2012
InactiveW & R Insurance Agency398729Agent - Variable Life and Variable Annuities9/16/201010/29/2012

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