DEPARTMENT OF INSURANCE
Affiliations
NameCountryman, Gary HeathDOIID873056NAIC NPN16520372
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife3/25/2015 8/31/2026
ActiveNon ResidentAgentVariable Life and Variable Annuities3/25/2015 8/31/2026
ActiveNon ResidentAgentHealth3/25/2015 8/31/2026
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202408/31/202408/22/202408/22/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life9/20/2020 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/20/2020 
InactiveBanner Life Insurance Company301696Agent - Life11/9/201811/8/2023
InactiveBrighthouse Life Insurance Company301829Agent - Life5/12/201510/14/2016
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities5/12/201510/14/2016
InactiveEquitable Financial Life Insurance Company300808Agent - Life4/23/201510/1/2015
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities4/23/201510/1/2015
InactiveJackson National Life Insurance Company300486Agent - Life10/11/20167/21/2023
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/11/20167/21/2023
InactiveRiverSource Life Insurance Company301952Agent - Health10/7/201611/25/2022
InactiveRiverSource Life Insurance Company301952Agent - Life10/7/201611/25/2022
InactiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities10/7/201611/25/2022
InactiveTransamerica Life Insurance Company300571Agent - Life4/13/201511/17/2016
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/13/20156/27/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmeriprise Financial Services, LLC398326Agent - Life1/12/2017 
InactiveAmeriprise Financial Services, LLC398326Agent - Health1/12/201711/25/2022
ActiveAmeriprise Financial Services, LLC398326Agent - Variable Life and Variable Annuities1/12/2017 
ActiveFifth Third Insurance Agency Inc399341Agent - Life8/10/2023 
DeniedFifth Third Insurance Agency Inc399341Agent - Health  
ActiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities8/10/2023 
InactiveSbhu Life Agency Inc689591Agent - Life4/22/201510/19/2016
DeniedSbhu Life Agency Inc689591Agent - Health  
InactiveSbhu Life Agency Inc689591Agent - Variable Life and Variable Annuities4/22/201510/19/2016

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