DEPARTMENT OF INSURANCE
Affiliations
NameTransamerica Retirement Ins Agency LLCDOIID816073NAIC NPN17010705
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/31/2013 3/31/2025
ActiveNon ResidentAgentLife7/31/2013 3/31/2025
WithdrawnNon ResidentAgentVariable Life and Variable Annuities   
* 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveForethought Life Insurance Company301407Agent - Health6/1/2015 
ActiveForethought Life Insurance Company301407Agent - Life6/1/2015 
ActiveMinnesota Life Insurance Company300488Agent - Health5/1/2020 
ActiveMinnesota Life Insurance Company300488Agent - Life5/1/2020 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life1/28/2014 
ActivePacific Life Insurance Company301848Agent - Health5/18/2021 
ActivePacific Life Insurance Company301848Agent - Life5/18/2021 
ActiveTransamerica Life Insurance Company300571Agent - Life2/11/2014 
InactiveTransamerica Premier Life Insurance Company300558Agent - Life9/26/201610/1/2020
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAdair, Alex William 1202383Agent - Health  
DeniedAdair, Alex William 1202383Agent - Life  
DeniedAndrews, Samuel 993203Agent - Health  
DeniedAndrews, Samuel 993203Agent - Life  
DeniedBailey, Michael John 757470Agent - Health  
ActiveBailey, Michael John 757470Agent - Life8/22/2022 
DeniedBaines, Douglas 1010841Agent - Health  
DeniedBaines, Douglas 1010841Agent - Life  
ActiveBorman, Bridget 912738Agent - Health9/3/2019 
ActiveBorman, Bridget 912738Agent - Life9/3/2019 
ActiveBorota, Michael Stanley 946896Agent - Life9/3/2019 
ActiveBusch, Robert Allen 511119Agent - Health9/3/2019 
ActiveBusch, Robert Allen 511119Agent - Life9/3/2019 
DeniedChapman, Samuel Cole 1020907Agent - Health  
DeniedChapman, Samuel Cole 1020907Agent - Life  
ActiveClark, Roger P 944187Agent - Life9/3/2019 
InactiveDe Leon, Iris 852383Agent - Health8/27/20198/1/2023
InactiveDe Leon, Iris 852383Agent - Life8/27/20198/1/2023
DeniedHackworthy, Alex 1001912Agent - Health  
ActiveHackworthy, Alex 1001912Agent - Life8/3/2018 
InactiveHeaton, Danielle M 1055757Agent - Health10/28/20198/1/2023
InactiveHeaton, Danielle M 1055757Agent - Life10/28/20198/1/2023
ActiveHewitt, Jay A 947781Agent - Health8/17/2017 
ActiveHewitt, Jay A 947781Agent - Life8/17/2017 
DeniedKahnert, Brett R 1021971Agent - Health  
DeniedKahnert, Brett R 1021971Agent - Life  
InactiveKirk, Spencer L 944999Agent - Life9/3/20198/31/2023
InactiveLetizia, Anthony Peter 781992Agent - Health1/16/20208/22/2022
InactiveLetizia, Anthony Peter 781992Agent - Life1/16/20208/22/2022
DeniedLohmann, Alison Diane 1033095Agent - Health  
DeniedLohmann, Alison Diane 1033095Agent - Life  
DeniedMaltes, Russell Stalin 1024980Agent - Health  
DeniedMaltes, Russell Stalin 1024980Agent - Life  
DeniedMartinez, Terrie 1020645Agent - Health  
DeniedMartinez, Terrie 1020645Agent - Life  
InactiveMichalec, Michelle L 996535Agent - Life9/3/20199/30/2023
DeniedNazario, Shawn Hiram 992502Agent - Health  
ActiveNazario, Shawn Hiram 992502Agent - Life5/16/2018 
InactiveNorton, Bradley W 683868Agent - Health7/31/20135/3/2017
InactiveNorton, Bradley W 683868Agent - Life7/31/20135/3/2017
DeniedNorton, Bradley W 683868Agent - Variable Life and Variable Annuities  
DeniedRies, Dan Joseph 1061279Agent - Health  
DeniedRies, Dan Joseph 1061279Agent - Life  
DeniedRyder, William D 1014800Agent - Health  
DeniedRyder, William D 1014800Agent - Life  
ActiveSheets, Ryan Lee 651217Agent - Health11/29/2017 
ActiveSheets, Ryan Lee 651217Agent - Life11/29/2017 
DeniedShimota, Judith W 1009038Agent - Health  
DeniedShimota, Judith W 1009038Agent - Life  
InactiveSivola, Tina 972912Agent - Health9/3/201912/18/2023
InactiveSivola, Tina 972912Agent - Life9/3/201912/18/2023
InactiveSnyder, Christopher C 1014624Agent - Life10/25/20188/22/2022
InactiveSpore, Caleb Leif 1020239Agent - Health8/22/20228/22/2022
InactiveSpore, Caleb Leif 1020239Agent - Life8/22/20228/22/2022
DeniedTrout, Gregory Thomas 1002651Agent - Health  
DeniedTrout, Gregory Thomas 1002651Agent - Life  
InactiveVance, Reginald Lee 945090Agent - Life9/3/20199/30/2021
ActiveWhite, Reed 1050762Agent - Health9/3/2019 
ActiveWhite, Reed 1050762Agent - Life9/3/2019 

© Commonwealth of Kentucky. All rights reserved.