DEPARTMENT OF INSURANCE
Affiliations
NameDortch, David DOIID835252NAIC NPN17207870
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentVariable Life and Variable Annuities9/19/20141/5/2016 
InactiveResidentAgentLife3/13/20141/5/2016 
InactiveResidentAgentHealth4/17/20141/5/2016 
* 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
InactiveEmpower Annuity Insurance Company of America300259Agent - Life8/20/20151/5/2016
InactiveEmpower Annuity Insurance Company of America300259Agent - Variable Life and Variable Annuities12/14/20151/5/2016
InactiveForethought Life Insurance Company301407Agent - Health6/3/20151/5/2016
InactiveForethought Life Insurance Company301407Agent - Life6/3/20151/5/2016
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities6/3/20151/5/2016
InactivePruco Life Insurance Company300954Agent - Life11/2/20151/5/2016
InactiveState Life Insurance Company301497Agent - Health9/22/20141/5/2016
InactiveState Life Insurance Company301497Agent - Life9/22/20141/5/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life9/22/20141/5/2016
InactiveFifth Third Insurance Agency Inc399341Agent - Health9/22/20141/5/2016
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities6/3/20151/5/2016

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