DEPARTMENT OF INSURANCE

Affiliations

Name	Meritrust Consulting LLC DBA : MWM Advisory	DOIID	770497	NAIC NPN	16483993

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	8/21/2023	3/31/2025
Active	Resident	Agent	Variable Life and Variable Annuities	7/27/2023	3/31/2025
Active	Resident	Agent	Health	8/21/2023	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/25/2012	3/31/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blandford, James	645852	Agent - Health	12/9/2011	9/30/2012
Inactive	Blandford, James	645852	Agent - Life	12/9/2011	9/30/2012
Active	Cammack, Marcia Johnson	503524	Agent - Health	8/21/2023
Active	Cammack, Marcia Johnson	503524	Agent - Life	8/21/2023
Active	Cammack, Marcia Johnson	503524	Agent - Variable Life and Variable Annuities	8/21/2023
Inactive	Furlong, Thomas Patrick	379296	Agent - Health	3/7/2012	3/31/2013
Inactive	Furlong, Thomas Patrick	379296	Agent - Life	3/7/2012	3/31/2013
Inactive	Hill, Frank Phillip	340117	Agent - Health	3/7/2012	3/31/2013
Inactive	Hill, Frank Phillip	340117	Agent - Life	3/7/2012	3/31/2013
Inactive	Hornback, Anne Leslie	388074	Agent - Health	3/7/2012	3/31/2013
Inactive	Hornback, Anne Leslie	388074	Agent - Life	3/7/2012	3/31/2013
Inactive	Kallis, John George	541768	Agent - Health	4/23/2014	3/31/2019
Inactive	Kallis, John George	541768	Agent - Life	4/23/2014	3/31/2019
Denied	Medley, Diane Bennett	704922	Agent - Life
Denied	Medley, Diane Bennett	704922	Agent - Variable Life and Variable Annuities
Denied	Williams, Megan Elizabeth	1279260	Agent - Health
Denied	Williams, Megan Elizabeth	1279260	Agent - Life
Denied	Williams, Megan Elizabeth	1279260	Agent - Variable Life and Variable Annuities