DEPARTMENT OF INSURANCE
Affiliations
NameTillery, Jack LDOIID737106NAIC NPN15846984
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife10/5/20201/31/2022 
InactiveNon ResidentAgentHealth10/21/20201/31/2022 
InactiveNon ResidentAgentVariable Life and Variable Annuities10/5/20201/31/2022 
* 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 - Life10/13/20201/31/2022
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities10/13/20201/31/2022
InactiveBrighthouse Life Insurance Company301829Agent - Health12/19/20201/31/2022
InactiveBrighthouse Life Insurance Company301829Agent - Life12/19/20201/31/2022
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities12/19/20201/31/2022
InactiveDelaware Life Insurance Company301256Agent - Life10/19/20201/31/2022
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities10/19/20201/31/2022
InactiveEagle Life Insurance Company701261Agent - Life2/2/20211/31/2022
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life7/25/20211/31/2022
InactiveLincoln Life Assurance Company of Boston301915Agent - Life10/18/20103/21/2012
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life10/19/20101/31/2012
InactiveSecurity Benefit Life Insurance Company300583Agent - Life1/6/20211/31/2022
InactiveSecurity Benefit Life Insurance Company300583Agent - Variable Life and Variable Annuities1/6/20211/31/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCetera Investment Services LLC398143Agent - Life10/13/20201/31/2022
InactiveCetera Investment Services LLC398143Agent - Variable Life and Variable Annuities10/13/20201/31/2022

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