DEPARTMENT OF INSURANCE
Affiliations
NameBourne, Hampton DOIID876489NAIC NPN16371560
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities9/25/2023 9/30/2025
InactiveNon ResidentAgentHealth4/29/20159/30/2021 
InactiveNon ResidentAgentLife4/29/20159/30/2021 
* 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 - Life7/29/20209/30/2021
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities10/9/2023 
InactiveBrighthouse Life Insurance Company301829Agent - Health4/3/20209/30/2021
InactiveBrighthouse Life Insurance Company301829Agent - Life4/3/20209/30/2021
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities4/3/20209/30/2021
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life11/2/201610/5/2021
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities11/4/201610/5/2021
InactiveJackson National Life Insurance Company300486Agent - Life11/26/20199/30/2021
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/26/20199/30/2021
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/29/20156/15/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/29/20156/15/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/29/20156/15/2015
InactiveMetropolitan Life Insurance Company301948Agent - Health10/10/20174/7/2020
InactiveMetropolitan Life Insurance Company301948Agent - Life10/10/20174/7/2020
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities10/10/20174/7/2020
InactiveMidland National Life Insurance Company300923Agent - Life1/17/20169/30/2021
InactiveProtective Life Insurance Company300638Agent - Health4/30/201511/23/2019
InactiveProtective Life Insurance Company300638Agent - Life4/30/201511/23/2019
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities4/30/201511/23/2019
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities4/8/20209/30/2021
InactiveRiverSource Life Insurance Company301952Agent - Health3/30/20209/30/2021
InactiveRiverSource Life Insurance Company301952Agent - Life3/30/20209/30/2021
InactiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities3/30/20209/30/2021
InactiveStandard Insurance Company300185Agent - Health12/31/20159/30/2021
InactiveStandard Insurance Company300185Agent - Life12/31/20159/30/2021
InactiveStandard Insurance Company300185Agent - Variable Life and Variable Annuities12/31/20159/30/2021
InactiveTransamerica Life Insurance Company300571Agent - Life5/4/20157/16/2015
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities5/4/20157/16/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmeriprise Financial Services, LLC398326Agent - Health4/15/20209/30/2021
InactiveAmeriprise Financial Services, LLC398326Agent - Variable Life and Variable Annuities4/15/20209/30/2021
InactiveAmeriprise Financial Services, LLC398326Agent - Life4/15/20209/30/2021
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Health5/1/20156/15/2015
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Variable Life and Variable Annuities5/1/20156/15/2015
InactiveEdward D Jones & Co. Limited Partnership398146Agent - Life5/1/20156/15/2015
InactiveLPL FINANCIAL LLC399327Agent - Health12/20/20169/30/2021
InactiveLPL FINANCIAL LLC399327Agent - Variable Life and Variable Annuities12/20/20169/30/2021
InactiveLPL FINANCIAL LLC399327Agent - Life12/20/20169/30/2021

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