DEPARTMENT OF INSURANCE
Affiliations
NameKostalek, Dustin GlynnDOIID787857NAIC NPN15989081
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth8/13/20121/31/2021 
InactiveResidentAgentVariable Life and Variable Annuities8/13/20121/31/2021 
InactiveResidentAgentLife8/13/20121/31/2021 
* 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 - Health11/9/20154/3/2018
InactiveAllianz Life Insurance Company of North America301791Agent - Life11/9/20154/3/2018
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities11/9/20154/3/2018
InactiveBrighthouse Life Insurance Company301829Agent - Health3/24/20154/10/2018
InactiveBrighthouse Life Insurance Company301829Agent - Life3/24/20154/10/2018
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities3/24/20154/10/2018
InactiveCMFG Life Insurance Company300929Agent - Health10/25/20173/30/2018
InactiveCMFG Life Insurance Company300929Agent - Life10/25/20173/30/2018
InactiveCMFG Life Insurance Company300929Agent - Variable Life and Variable Annuities10/25/20173/30/2018
InactiveDelaware Life Insurance Company301256Agent - Life3/26/201511/27/2019
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities3/26/201511/27/2019
InactiveEagle Life Insurance Company701261Agent - Life3/9/20153/30/2018
InactiveForethought Life Insurance Company301407Agent - Health4/20/20153/29/2018
InactiveForethought Life Insurance Company301407Agent - Life4/20/20153/29/2018
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities4/20/20153/29/2018
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life1/25/20184/4/2018
InactiveIntegrity Life Insurance Company301687Agent - Life11/2/20181/31/2021
InactiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities11/2/20181/31/2021
InactiveJackson National Life Insurance Company300486Agent - Life9/21/20181/31/2021
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities9/21/20181/31/2021
InactiveLiberty National Life Insurance Company300827Agent - Health3/17/20151/31/2021
InactiveLiberty National Life Insurance Company300827Agent - Life3/17/20151/31/2021
InactiveLincoln Life Assurance Company of Boston301915Agent - Life7/2/20154/2/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Health2/25/20155/9/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life2/25/20155/9/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities2/25/20155/9/2018
InactiveMEMBERS Life Insurance Company301289Agent - Health10/25/20173/30/2018
InactiveMEMBERS Life Insurance Company301289Agent - Life10/25/20173/30/2018
InactiveMEMBERS Life Insurance Company301289Agent - Variable Life and Variable Annuities10/25/20173/30/2018
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life3/16/20154/16/2018
InactiveMidland National Life Insurance Company300923Agent - Life2/23/20155/4/2018
InactiveMinnesota Life Insurance Company300488Agent - Health10/23/20181/31/2021
InactiveMinnesota Life Insurance Company300488Agent - Life10/23/20181/31/2021
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities10/23/20181/31/2021
InactiveNationwide Life Insurance Company300495Agent - Health3/25/20155/3/2018
InactiveNationwide Life Insurance Company300495Agent - Life3/25/20155/3/2018
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities3/25/20155/3/2018
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health1/17/20175/3/2018
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life1/17/20175/3/2018
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities1/17/20175/3/2018
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life3/25/20153/30/2018
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities3/25/20153/30/2018
InactivePacific Life Insurance Company301848Agent - Life3/24/20156/27/2018
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/24/20156/27/2018
InactiveProtective Life Insurance Company300638Agent - Health2/16/201611/23/2017
InactiveProtective Life Insurance Company300638Agent - Life2/16/201611/23/2017
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities2/16/201611/23/2017
InactivePruco Life Insurance Company300954Agent - Life3/12/20154/4/2018
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/12/20154/4/2018
InactiveReliance Standard Life Insurance Company300584Agent - Life2/6/20181/31/2021
InactiveStandard Insurance Company300185Agent - Health9/14/20181/31/2021
InactiveStandard Insurance Company300185Agent - Life9/14/20181/31/2021
InactiveState Life Insurance Company301497Agent - Health2/23/20153/19/2018
InactiveState Life Insurance Company301497Agent - Life2/23/20153/19/2018
InactiveSymetra Life Insurance Company301691Agent - Health4/9/20154/12/2018
InactiveSymetra Life Insurance Company301691Agent - Life4/9/20154/12/2018
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities4/9/20154/12/2018
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/31/201512/24/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/31/201512/24/2015
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities3/31/201512/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/31/201512/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/31/201512/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/31/201512/24/2015
InactiveTransamerica Life Insurance Company300571Agent - Life3/20/20154/30/2018
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities3/20/20154/30/2018
InactiveUnited American Insurance Company300910Agent - Health3/18/20151/31/2021
InactiveUnited American Insurance Company300910Agent - Life3/18/20151/31/2021
InactiveVenerable Insurance and Annuity Company301006Agent - Health6/1/20154/17/2018
InactiveVenerable Insurance and Annuity Company301006Agent - Life6/1/20154/17/2018
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities6/1/20154/17/2018
InactiveWestern-Southern Life Assurance Company301590Agent - Health11/2/20181/31/2021
InactiveWestern-Southern Life Assurance Company301590Agent - Life11/2/20181/31/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBB&T Investment Services Inc707567Agent - Variable Life and Variable Annuities2/25/20152/28/2018
InactiveBB&T Investment Services Inc707567Agent - Life3/9/20152/28/2018
InactiveBB&T Investment Services Inc707567Agent - Health2/23/20152/28/2018
InactiveBB&T Securities, LLC792931Agent - Variable Life and Variable Annuities3/1/20183/29/2018
InactiveBB&T Securities, LLC792931Agent - Life3/1/20183/29/2018
InactiveBB&T Securities, LLC792931Agent - Health3/1/20183/29/2018
InactiveUbs Financial Services Ins Agency Inc399373Agent - Variable Life and Variable Annuities1/30/20132/24/2015
InactiveUbs Financial Services Ins Agency Inc399373Agent - Life2/2/20152/24/2015
InactiveUbs Financial Services Ins Agency Inc399373Agent - Health1/30/20132/24/2015

© Commonwealth of Kentucky. All rights reserved.