DEPARTMENT OF INSURANCE
Affiliations
NameZaczek, Philip JDOIID903112NAIC NPN7226265
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth1/6/201611/30/2018 
InactiveNon ResidentAgentVariable Life and Variable Annuities1/6/201611/30/2018 
InactiveNon ResidentAgentLife1/4/201611/30/2018 
* 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
InactiveAmerican General Life Insurance Company301585Agent - Health1/6/201611/30/2018
InactiveAmerican General Life Insurance Company301585Agent - Life1/6/201611/30/2018
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities1/6/201611/30/2018
InactiveBanner Life Insurance Company301696Agent - Life1/11/20164/18/2018
InactiveBrighthouse Life Insurance Company301829Agent - Life1/11/20166/18/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities2/10/20164/18/2018
InactiveForethought Life Insurance Company301407Agent - Health1/11/201611/30/2018
InactiveForethought Life Insurance Company301407Agent - Life1/11/201611/30/2018
InactiveGolden Rule Insurance Company301943Agent - Health3/3/20167/10/2017
InactiveGolden Rule Insurance Company301943Agent - Life3/3/20167/10/2017
InactiveJackson National Life Insurance Company300486Agent - Life1/12/20164/17/2018
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities1/12/20164/17/2018
InactiveLincoln National Life Insurance Company (The)301382Agent - Life1/4/20164/18/2018
InactiveNationwide Life Insurance Company300495Agent - Health1/8/201611/28/2017
InactiveNationwide Life Insurance Company300495Agent - Life1/8/201611/28/2017
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities1/12/201611/28/2017
InactiveTime Insurance Company300683Agent - Health2/15/201611/30/2018
InactiveTime Insurance Company300683Agent - Life2/15/201611/30/2018
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health3/3/201611/4/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life3/3/201611/4/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSbhu Life Agency Inc689591Agent - Life1/4/20164/24/2018
InactiveSbhu Life Agency Inc689591Agent - Health1/8/20164/24/2018

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