DEPARTMENT OF INSURANCE
Affiliations
NameFaurest, Michael ClarkeDOIID763655NAIC NPN3430458
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife10/22/2014 9/30/2024
ActiveResidentAgentProperty10/22/2014 9/30/2024
ActiveResidentAgentCasualty10/22/2014 9/30/2024
ActiveResidentAgentHealth10/22/2014 9/30/2024
InactiveResidentAgentVariable Life and Variable Annuities10/22/20147/9/2018 
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health6/7/20151/15/2022
InactiveAmerican General Life Insurance Company301585Agent - Life6/7/20151/15/2022
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities6/7/20157/9/2018
InactiveAmerican National Insurance Company301861Agent - Health10/20/20155/28/2021
InactiveAmerican National Insurance Company301861Agent - Life10/20/20153/16/2024
InactiveBerkshire Life Insurance Company of America300983Agent - Health12/29/201410/12/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Life12/29/201410/12/2020
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life12/5/201412/21/2016
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life11/5/2014 
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities11/5/20147/9/2018
InactiveGenworth Life Insurance Company300623Agent - Health2/8/201310/1/2014
InactiveGenworth Life Insurance Company300623Agent - Life2/8/201310/1/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health10/22/201512/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life10/22/201512/14/2016
InactiveGuardian Life Insurance Company of America301316Agent - Health12/29/201410/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life12/29/201410/5/2021
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health12/27/2016 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life12/27/2016 
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities12/27/20167/9/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Health5/8/20187/12/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life5/8/20187/12/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/8/20187/9/2018
InactiveMetropolitan Life Insurance Company301948Agent - Health2/13/201310/1/2014
InactiveMetropolitan Life Insurance Company301948Agent - Life1/8/201310/1/2014
InactiveNationwide Life Insurance Company300495Agent - Health10/23/201412/12/2016
InactiveNationwide Life Insurance Company300495Agent - Life10/23/201412/12/2016
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/16/201410/1/2014
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health10/23/20146/8/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life10/23/20146/8/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities4/16/201410/1/2014
ActivePacific Life Insurance Company301848Agent - Health1/28/2018 
ActivePacific Life Insurance Company301848Agent - Life1/28/2018 
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities1/28/20187/9/2018
ActivePrincipal National Life Insurance Company301926Agent - Life5/15/2015 
ActiveProtective Life Insurance Company300638Agent - Health1/30/2019 
ActiveProtective Life Insurance Company300638Agent - Life1/30/2019 
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/10/201510/8/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/10/201510/8/2021
InactivePruco Life Insurance Company300954Agent - Life11/5/201412/21/2022
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities11/5/20147/9/2018
InactiveReliaStar Life Insurance Company301712Agent - Health12/22/20143/9/2018
InactiveReliaStar Life Insurance Company301712Agent - Life12/22/20143/9/2018
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities12/22/20143/9/2018
InactiveSecurity Life of Denver Insurance Company300648Agent - Health7/7/20177/5/2019
InactiveSecurity Life of Denver Insurance Company300648Agent - Life7/7/20177/5/2019
InactiveSecurity Life of Denver Insurance Company300648Agent - Variable Life and Variable Annuities7/7/20177/9/2018
InactiveSymetra Life Insurance Company301691Agent - Health9/1/20162/18/2021
InactiveSymetra Life Insurance Company301691Agent - Life9/1/20162/18/2021
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities9/1/20167/9/2018
InactiveTIAA-CREF Life Insurance Company556577Agent - Life8/15/20175/8/2020
InactiveTIAA-CREF Life Insurance Company556577Agent - Variable Life and Variable Annuities11/14/20145/3/2017
InactiveTransamerica Life Insurance Company300571Agent - Health11/6/20152/14/2018
InactiveTransamerica Life Insurance Company300571Agent - Life11/6/20152/14/2018
InactiveUNUM Life Insurance Company of America300817Agent - Health2/10/201510/8/2021
InactiveUNUM Life Insurance Company of America300817Agent - Life2/10/201510/8/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveG H Brown & Co400662Agent - Life8/10/20183/31/2020
InactiveG H Brown & Co400662Agent - Health10/16/20173/31/2018

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