DEPARTMENT OF INSURANCE
Affiliations
NameElliott, India DDOIID846918NAIC NPN17330502
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/6/2024 9/30/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities6/6/2024 9/30/2025
ActiveNon ResidentAgentLife6/6/2024 9/30/2025
InactiveNon ResidentAgentProperty7/31/20149/30/2015 
InactiveNon ResidentAgentCasualty7/31/20149/30/2015 
* 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 - Life3/18/20215/6/2021
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/18/20214/27/2021
InactiveAmica Mutual Insurance Company301405Agent - Casualty8/1/20143/25/2015
InactiveAmica Mutual Insurance Company301405Agent - Property8/1/20143/25/2015
InactiveBrighthouse Life Insurance Company301829Agent - Health6/13/20247/23/2024
InactiveBrighthouse Life Insurance Company301829Agent - Life6/13/20247/23/2024
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities6/13/20247/23/2024
InactiveFidelity Investments Life Insurance Company300620Agent - Life9/28/20207/26/2021
InactiveFidelity Investments Life Insurance Company300620Agent - Variable Life and Variable Annuities9/28/20207/26/2021
InactiveNorthwestern Long Term Care Insurance Company300135Agent - Health9/28/20215/31/2022
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Health9/22/20215/31/2022
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Life9/22/20215/31/2022
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Variable Life and Variable Annuities9/22/20215/31/2022
InactiveUSAA Life Insurance Company300734Agent - Life1/27/20219/30/2023
InactiveWestern-Southern Life Assurance Company301590Agent - Life2/17/20219/29/2021
InactiveWestern-Southern Life Assurance Company301590Agent - Variable Life and Variable Annuities2/17/20219/29/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFidelity Insurance Agency Inc.400221Agent - Life10/29/20209/30/2023
DeniedFidelity Insurance Agency Inc.400221Agent - Health  
InactiveFidelity Insurance Agency Inc.400221Agent - Variable Life and Variable Annuities10/29/20205/31/2022
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Life6/20/20247/23/2024
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Health6/20/20247/23/2024
InactiveWells Fargo Advisors Insurance Agency LLC399972Agent - Variable Life and Variable Annuities6/20/20247/23/2024

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