DEPARTMENT OF INSURANCE
Affiliations
NameWells Fargo Clearing Services, LLCDOIID768515NAIC NPN25600
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities11/22/2011 3/31/2025
ActiveNon ResidentAgentLife11/22/2011 3/31/2025
ActiveNon ResidentAgentHealth11/22/2011 3/31/2025
* 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
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Health1/15/2016 
ActiveAllianz Life Insurance Company of North America301791Agent - Life1/15/2016 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities1/15/2016 
ActiveAmeritas Life Insurance Corporation300126Agent - Life11/7/2021 
ActiveAmeritas Life Insurance Corporation300126Agent - Variable Life and Variable Annuities11/7/2021 
ActiveForethought Life Insurance Company301407Agent - Health3/12/2015 
ActiveForethought Life Insurance Company301407Agent - Life3/12/2015 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities3/12/2015 
ActiveIntegrity Life Insurance Company301687Agent - Life3/13/2020 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities3/13/2020 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health4/16/2013 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life4/16/2013 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities4/16/2013 
ActiveMinnesota Life Insurance Company300488Agent - Health10/25/2012 
ActiveMinnesota Life Insurance Company300488Agent - Life10/25/2012 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities10/25/2012 
ActiveProtective Life Insurance Company300638Agent - Health12/31/2015 
ActiveProtective Life Insurance Company300638Agent - Life12/31/2015 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities12/31/2015 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDavenport, Donald Keith 938186Agent - Health10/3/2017 
ActiveDavenport, Donald Keith 938186Agent - Life10/3/2017 
ActiveDavenport, Donald Keith 938186Agent - Variable Life and Variable Annuities10/3/2017 
InactiveJessen, Joel C 586656Agent - Health11/22/20113/19/2021
InactiveJessen, Joel C 586656Agent - Life11/22/201110/5/2021
InactiveJessen, Joel C 586656Agent - Variable Life and Variable Annuities11/22/201110/5/2021

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