DEPARTMENT OF INSURANCE
Affiliations
NameBortz, Samuel DOIID790128NAIC NPN16770945
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/17/2018 11/30/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities2/16/2018 11/30/2025
ActiveNon ResidentAgentLife2/16/2018 11/30/2025
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican General Life Insurance Company301585Agent - Health4/14/2021 
ActiveAmerican General Life Insurance Company301585Agent - Life4/14/2021 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities4/14/2021 
InactiveBanner Life Insurance Company301696Agent - Life11/13/201311/30/2017
InactiveEquitable Financial Life Insurance Company300808Agent - Health10/28/201311/30/2017
InactiveEquitable Financial Life Insurance Company300808Agent - Life3/1/201812/17/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities3/1/20184/12/2019
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life3/1/201812/18/2018
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities3/1/201812/18/2018
ActiveForethought Life Insurance Company301407Agent - Life8/16/2018 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities8/16/2018 
ActiveIntegrity Life Insurance Company301687Agent - Life3/1/2018 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities3/1/2018 
InactiveJackson National Life Insurance Company300486Agent - Life7/16/201611/30/2017
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities2/26/2018 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health10/11/2018 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life10/11/2018 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities10/11/2018 
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life2/23/201512/1/2016
InactiveNationwide Life Insurance Company300495Agent - Health11/26/201312/12/2016
InactiveNationwide Life Insurance Company300495Agent - Life11/26/201312/12/2016
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities11/26/201312/12/2016
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health6/21/201711/30/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life6/21/201711/30/2017
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities6/21/201711/30/2017
InactivePrincipal National Life Insurance Company301926Agent - Life2/12/201611/30/2017
InactivePrincipal National Life Insurance Company301926Agent - Variable Life and Variable Annuities2/12/201611/30/2017
InactiveProtective Life Insurance Company300638Agent - Health8/7/201511/30/2017
InactiveProtective Life Insurance Company300638Agent - Life8/7/201511/30/2017
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities8/7/201511/30/2017
InactivePruco Life Insurance Company300954Agent - Life11/12/201311/30/2017
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities11/12/201311/30/2017
InactivePrudential Insurance Company of America300784Agent - Life11/12/201312/22/2016
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities11/12/201312/22/2016
InactiveStandard Insurance Company300185Agent - Health4/11/201411/30/2017
InactiveStandard Insurance Company300185Agent - Life4/11/201411/30/2017
InactiveStandard Insurance Company300185Agent - Variable Life and Variable Annuities4/11/201411/30/2017
InactiveState Life Insurance Company301497Agent - Health3/4/20155/19/2017
InactiveState Life Insurance Company301497Agent - Life3/4/20155/19/2017
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health12/2/201312/18/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life12/2/201312/18/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities12/2/201312/18/2015
ActiveTransamerica Life Insurance Company300571Agent - Life1/23/2024 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities1/23/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveRaymond James Insurance Group, Inc.398342Agent - Life11/16/2018 
ActiveRaymond James Insurance Group, Inc.398342Agent - Health11/16/2018 
ActiveRaymond James Insurance Group, Inc.398342Agent - Variable Life and Variable Annuities11/16/2018 

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