DEPARTMENT OF INSURANCE
Affiliations
NameTichnell, Kevin NicholasDOIID917124NAIC NPN6835740
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities6/2/20162/28/2019 
InactiveNon ResidentAgentLife6/2/20162/28/2019 
* 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
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life10/25/20162/28/2019
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities10/25/20162/28/2019
InactivePruco Life Insurance Company300954Agent - Life6/9/201612/24/2018
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities6/9/201612/24/2018
InactiveTransamerica Life Insurance Company300571Agent - Life3/17/20172/28/2019
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities3/17/20172/28/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveExecutive Ins Agency Inc400244Agent - Life2/19/20192/28/2019
InactiveExecutive Ins Agency Inc400244Agent - Variable Life and Variable Annuities2/19/20192/28/2019

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