DEPARTMENT OF INSURANCE
Affiliations
NameBlankenship, Mary ChamnessDOIID801334NAIC NPN16867619
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities5/2/2013 5/31/2025
ActiveResidentAgentHealth2/11/2013 5/31/2025
ActiveResidentAgentLife1/22/2013 5/31/2025
* 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.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health3/13/20141/11/2017
ActiveAllianz Life Insurance Company of North America301791Agent - Life3/14/2023 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/7/2023 
ActiveAmerican General Life Insurance Company301585Agent - Health1/30/2023 
ActiveAmerican General Life Insurance Company301585Agent - Life9/20/2013 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities9/20/2013 
ActiveAthene Annuity and Life Company301893Agent - Life3/25/2024 
ActiveBrighthouse Life Insurance Company301829Agent - Health9/12/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life9/12/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities3/20/2020 
ActiveEagle Life Insurance Company701261Agent - Life10/21/2020 
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities6/24/2022 
ActiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities6/24/2022 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life7/29/2022 
ActiveForethought Life Insurance Company301407Agent - Health5/4/2020 
ActiveForethought Life Insurance Company301407Agent - Life5/4/2020 
ActiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities5/4/2020 
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life10/17/201312/14/2016
ActiveIntegrity Life Insurance Company301687Agent - Life11/15/2021 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities11/15/2021 
ActiveJackson National Life Insurance Company300486Agent - Life7/12/2018 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities7/12/2018 
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/31/202210/8/2023
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/31/202210/8/2023
InactiveLife Insurance Company of the Southwest301867Agent - Health8/11/20173/24/2020
InactiveLife Insurance Company of the Southwest301867Agent - Life8/11/20173/24/2020
ActiveLincoln National Life Insurance Company (The)301382Agent - Health3/26/2020 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life3/26/2020 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/26/2020 
ActiveMassMutual Ascend Life Insurance Company300320Agent - Life5/1/2023 
InactiveMetLife Investors USA Insurance Company300845Agent - Health9/12/201411/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life9/12/201411/14/2014
ActiveMidland National Life Insurance Company300923Agent - Life5/24/2020 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities5/24/2020 
ActiveMinnesota Life Insurance Company300488Agent - Health4/10/2020 
ActiveMinnesota Life Insurance Company300488Agent - Life4/10/2020 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities4/10/2020 
ActiveNational Western Life Insurance Company301515Agent - Life9/17/2020 
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health3/4/202012/17/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life3/4/202012/17/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities3/4/202012/17/2020
ActiveOceanview Life and Annuity Company301868Agent - Life12/26/2023 
ActivePacific Life Insurance Company301848Agent - Life6/9/2022 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities6/9/2022 
InactivePenn Insurance and Annuity Company300712Agent - Life6/6/201810/5/2020
InactivePenn Mutual Life Insurance Company301394Agent - Life6/6/201810/5/2020
ActiveProtective Life Insurance Company300638Agent - Health9/26/2022 
ActiveProtective Life Insurance Company300638Agent - Life9/26/2022 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities9/26/2022 
ActivePruco Life Insurance Company300954Agent - Life12/18/2020 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities1/7/2021 
ActiveReliance Standard Life Insurance Company300584Agent - Life1/22/2024 
ActiveS.USA Life Insurance Company, Inc.301774Agent - Life6/17/2021 
InactiveStandard Insurance Company300185Agent - Health9/10/201912/5/2022
InactiveStandard Insurance Company300185Agent - Life9/10/201912/5/2022
ActiveState Life Insurance Company301497Agent - Health4/28/2016 
ActiveState Life Insurance Company301497Agent - Life4/28/2016 
InactiveSymetra Life Insurance Company301691Agent - Health5/11/202011/14/2023
InactiveSymetra Life Insurance Company301691Agent - Life5/11/202011/14/2023
InactiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities5/11/202011/14/2023
InactiveTransamerica Life Insurance Company300571Agent - Health1/3/20142/17/2017
InactiveTransamerica Life Insurance Company300571Agent - Life1/3/20142/17/2017
ActiveUnited Life Insurance Company664766Agent - Life6/12/2021 
ActiveWestern-Southern Life Assurance Company301590Agent - Health1/29/2020 
ActiveWestern-Southern Life Assurance Company301590Agent - Life1/29/2020 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFifth Third Insurance Agency Inc399341Agent - Life8/7/2017 
ActiveFifth Third Insurance Agency Inc399341Agent - Health8/7/2017 
ActiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities8/7/2017 

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