DEPARTMENT OF INSURANCE
Affiliations
NameAvalon Investment & Securities Group IncDOIID788819NAIC NPN5854575
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth8/31/20123/31/2020 
InactiveNon ResidentAgentLife8/31/20123/31/2020 
InactiveNon ResidentAgentVariable Life and Variable Annuities11/15/20123/31/2020 
* 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 - Health3/19/20133/29/2019
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/19/20133/29/2019
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/19/20133/29/2019
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life11/19/20123/31/2020
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities11/19/20123/31/2020
InactiveMidland National Life Insurance Company300923Agent - Life1/10/20203/31/2020
InactiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities1/10/20203/31/2020
InactivePruco Life Insurance Company300954Agent - Life11/19/20123/31/2020
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities11/19/20123/31/2020
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnderson, Charles Earl 393325Agent - Health8/31/20123/31/2020
InactiveAnderson, Charles Earl 393325Agent - Life8/31/20123/31/2020
InactiveAnderson, Charles Earl 393325Agent - Variable Life and Variable Annuities11/15/20123/31/2020

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