DEPARTMENT OF INSURANCE
Affiliations
NamePage, David DOIID828072NAIC NPN2049255
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities11/20/2013 1/31/2026
ActiveNon ResidentAgentHealth11/12/2015 1/31/2026
ActiveNon ResidentAgentLife11/20/2013 1/31/2026
* 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
InactiveJackson National Life Insurance Company300486Agent - Life8/25/20225/22/2024
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities8/25/20225/22/2024
InactiveLincoln National Life Insurance Company (The)301382Agent - Health3/2/201612/8/2020
InactiveLincoln National Life Insurance Company (The)301382Agent - Life3/2/201612/8/2020
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/2/201612/8/2020
InactiveTalcott Resolution Life Insurance Company301759Agent - Life2/6/20148/10/2017
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities2/6/20148/10/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveJanney Montgomery Scott LLC519818Agent - Life2/6/201412/8/2020
InactiveJanney Montgomery Scott LLC519818Agent - Variable Life and Variable Annuities2/6/201412/8/2020

© Commonwealth of Kentucky. All rights reserved.