DEPARTMENT OF INSURANCE
Affiliations
NameEf Legacy Securities LLCDOIID896601NAIC NPN17755542
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAdministratorNot Applicable3/27/2024 3/31/2025
ActiveResidentAgentLife10/23/2015 3/31/2025
ActiveResidentAgentHealth7/17/2023 3/31/2025
ActiveResidentAgentVariable Life and Variable Annuities10/23/2015 3/31/2025
* 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
Administrator01/15/202503/31/2025   
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health6/2/20165/1/2023
ActiveAllianz Life Insurance Company of North America301791Agent - Life6/2/2016 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities6/2/2016 
ActiveAmerican Equity Investment Life Insurance Company300389Agent - Life1/6/2020 
ActiveAmerican General Life Insurance Company301585Agent - Life12/12/2019 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/12/2019 
ActiveAmeritas Life Insurance Corporation300126Agent - Life12/30/2021 
ActiveAmeritas Life Insurance Corporation300126Agent - Variable Life and Variable Annuities12/30/2021 
InactiveBrighthouse Life Insurance Company301829Agent - Health6/22/20165/1/2023
ActiveBrighthouse Life Insurance Company301829Agent - Life6/22/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities6/22/2016 
InactiveEmpower Annuity Insurance Company of America300259Agent - Life9/10/20209/12/2022
InactiveEmpower Annuity Insurance Company of America300259Agent - Variable Life and Variable Annuities9/10/20209/12/2022
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities10/31/2019 
ActiveJackson National Life Insurance Company300486Agent - Life11/18/2019 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/18/2019 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health6/24/20205/1/2023
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/24/2020 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities6/24/2020 
InactiveNationwide Life Insurance Company300495Agent - Health12/31/20195/1/2023
ActiveNationwide Life Insurance Company300495Agent - Life12/31/2019 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities12/31/2019 
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health12/31/20195/1/2023
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life12/31/2019 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities12/31/2019 
ActivePacific Life Insurance Company301848Agent - Life7/26/2016 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities7/26/2016 
InactiveProtective Life Insurance Company300638Agent - Health9/20/20165/1/2023
ActiveProtective Life Insurance Company300638Agent - Life9/20/2016 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities9/20/2016 
ActivePruco Life Insurance Company300954Agent - Life6/14/2016 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities6/14/2016 
ActiveSecurity Benefit Life Insurance Company300583Agent - Life12/24/2019 
ActiveSecurity Benefit Life Insurance Company300583Agent - Variable Life and Variable Annuities12/24/2019 
InactiveTalcott Resolution Life Insurance Company301759Agent - Health5/20/20165/1/2023
ActiveTalcott Resolution Life Insurance Company301759Agent - Life5/20/2016 
ActiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities5/20/2016 
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health5/20/20165/1/2023
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life5/20/2016 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities5/20/2016 
ActiveTransamerica Life Insurance Company300571Agent - Life12/3/2019 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities12/3/2019 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBain, Robert Alan 912112Agent - Health7/24/201810/18/2019
InactiveBain, Robert Alan 912112Agent - Life7/16/201810/18/2019
InactiveBain, Robert Alan 912112Agent - Variable Life and Variable Annuities7/16/201810/18/2019
DeniedBalestriere, David Christopher 829624Agent - Health  
DeniedBalestriere, David Christopher 829624Agent - Life  
DeniedBalestriere, David Christopher 829624Agent - Variable Life and Variable Annuities  
DeniedBeattie, William Calvin 943386Agent - Health  
DeniedBeattie, William Calvin 943386Agent - Life  
DeniedBeattie, William Calvin 943386Agent - Variable Life and Variable Annuities  
DeniedChaze, Kristine D 615555Agent - Health  
InactiveChaze, Kristine D 615555Agent - Life7/25/20163/22/2019
InactiveChaze, Kristine D 615555Agent - Variable Life and Variable Annuities7/25/20163/22/2019
DeniedEdelman, Fredric Mark 375882Agent - Health  
InactiveEdelman, Fredric Mark 375882Agent - Life5/4/20168/19/2019
InactiveEdelman, Fredric Mark 375882Agent - Variable Life and Variable Annuities5/4/20168/19/2019
DeniedEitzel, Lisa O Lear 878495Agent - Health  
DeniedEitzel, Lisa O Lear 878495Agent - Life  
DeniedEitzel, Lisa O Lear 878495Agent - Variable Life and Variable Annuities  
DeniedForsyth, Christian E 955444Agent - Health  
DeniedForsyth, Christian E 955444Agent - Life  
DeniedForsyth, Christian E 955444Agent - Variable Life and Variable Annuities  
DeniedGarvey, Kevin Gerard 829626Agent - Health  
DeniedGarvey, Kevin Gerard 829626Agent - Life  
DeniedGarvey, Kevin Gerard 829626Agent - Variable Life and Variable Annuities  
DeniedGreenspon, Joan 890606Agent - Health  
DeniedGreenspon, Joan 890606Agent - Life  
DeniedGreenspon, Joan 890606Agent - Variable Life and Variable Annuities  
DeniedGulosh, Jason Michael 689711Agent - Health  
DeniedGulosh, Jason Michael 689711Agent - Life  
InactiveJohnson, Marie Angella 889058Agent - Health5/4/20168/19/2019
InactiveJohnson, Marie Angella 889058Agent - Life5/4/20168/19/2019
DeniedJohnson, Marie Angella 889058Agent - Variable Life and Variable Annuities  
DeniedKowal, Jan Eric 916767Agent - Health  
DeniedKowal, Jan Eric 916767Agent - Life  
DeniedKowal, Jan Eric 916767Agent - Variable Life and Variable Annuities  
ActiveMercier, Edward J 1332323Administrator - Not Applicable3/27/2024 
DeniedMuhammed, Michelle Vincent 799940Agent - Life  
DeniedMuhammed, Michelle Vincent 799940Agent - Variable Life and Variable Annuities  
ActiveRamsey, Cindy Embry 363452Agent - Health7/17/2023 
ActiveRamsey, Cindy Embry 363452Agent - Life5/26/2023 
ActiveRamsey, Cindy Embry 363452Agent - Variable Life and Variable Annuities5/26/2023 
DeniedSaxon, Jonathan Michael 829625Agent - Health  
DeniedSaxon, Jonathan Michael 829625Agent - Life  
DeniedSaxon, Jonathan Michael 829625Agent - Variable Life and Variable Annuities  
InactiveSheehan, David Thomas 817734Agent - Health10/23/20158/19/2019
InactiveSheehan, David Thomas 817734Agent - Life10/23/20158/19/2019
InactiveSheehan, David Thomas 817734Agent - Variable Life and Variable Annuities10/23/20158/19/2019
DeniedWollick, Matthew Charles 767247Agent - Health  
DeniedWollick, Matthew Charles 767247Agent - Life  
DeniedWollick, Matthew Charles 767247Agent - Variable Life and Variable Annuities  
DeniedZephir, Ashley S 955335Agent - Health  
DeniedZephir, Ashley S 955335Agent - Life  
DeniedZephir, Ashley S 955335Agent - Variable Life and Variable Annuities  

© Commonwealth of Kentucky. All rights reserved.