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DEPARTMENT OF INSURANCE
Affiliations
Name
Current III, Thomas Blackburn
DOIID
316347
NAIC NPN
7163257
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Life
2/27/1990
8/31/2026
Active
Resident
Agent
Variable Life and Variable Annuities
5/31/2001
8/31/2026
Active
Resident
Agent
Health
2/27/1990
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.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
4/29/2002
11/22/2007
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
4/29/2002
11/22/2007
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
5/9/2002
8/17/2006
Active
American General Life Insurance Company
301585
Agent - Health
4/6/2018
Active
American General Life Insurance Company
301585
Agent - Life
4/6/2018
Active
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
4/6/2018
Inactive
American Investors Life Insurance Company, Inc.
301358
Agent - Life
5/28/2002
7/20/2003
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Health
10/26/2000
3/16/2011
Inactive
Annuity Investors Life Insurance Company
300715
Agent - Life
10/26/2000
3/16/2011
Inactive
Bankers United Life Assurance Company
300296
Agent - Health
5/3/1996
3/31/1997
Inactive
Bankers United Life Assurance Company
300296
Agent - Life
5/3/1996
3/31/1997
Active
Banner Life Insurance Company
301696
Agent - Life
9/27/2019
Active
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
Active
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
11/14/2014
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
6/4/1999
12/31/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
6/4/1999
12/31/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
6/22/2001
12/31/2005
Inactive
Continental Casualty Company
301019
Agent - Health
5/10/1996
10/28/2002
Active
Eagle Life Insurance Company
701261
Agent - Life
9/25/2014
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
5/27/2008
7/11/2011
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
11/18/2014
12/29/2016
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
11/18/2014
5/7/2019
Inactive
Everlake Life Insurance Company
300873
Agent - Life
1/30/2006
11/27/2012
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
1/30/2006
11/27/2012
Inactive
First Colony Life Insurance Company
301179
Agent - Life
6/10/1999
7/19/2004
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
11/28/2001
12/12/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
11/28/2001
12/12/2008
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
4/9/1997
12/23/2014
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
5/31/2001
12/23/2014
Inactive
Genworth Life Insurance Company
300623
Agent - Health
3/11/2002
12/7/2012
Inactive
Genworth Life Insurance Company
300623
Agent - Life
3/11/2002
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
11/24/2003
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
11/24/2003
12/7/2012
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Variable Life and Variable Annuities
11/24/2003
12/7/2012
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Health
2/27/1990
1/10/2018
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Life
2/27/1990
1/10/2018
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
4/1/1997
9/19/2016
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
4/1/1997
12/11/2023
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
8/5/1998
4/2/2013
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
8/5/1998
4/2/2013
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
6/24/2002
4/2/2013
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
9/13/2000
10/18/2022
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
9/13/2000
10/18/2022
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
5/31/2001
10/18/2022
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Health
8/5/1998
12/31/2001
Inactive
Manufacturers Life Insurance Company of America (The)
300618
Agent - Life
8/5/1998
12/31/2001
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
2/1/2005
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
2/1/2005
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Variable Life and Variable Annuities
2/1/2005
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
2/1/2005
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
2/1/2005
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
2/1/2005
11/14/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
12/18/1997
12/10/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
12/18/1997
12/10/2012
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
5/31/2001
12/10/2012
Inactive
Pacific Life Insurance Company
301848
Agent - Life
6/9/2006
8/30/2016
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
6/9/2006
8/30/2016
Inactive
Pierce National Life Insurance Company
301847
Agent - Life
2/27/1990
3/16/2000
Active
Principal Life Insurance Company
300129
Agent - Health
11/13/1997
Active
Principal Life Insurance Company
300129
Agent - Life
11/13/1997
Active
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
7/9/2001
Inactive
Protective Life Insurance Company
300638
Agent - Health
3/22/2018
11/23/2021
Inactive
Protective Life Insurance Company
300638
Agent - Life
3/22/2018
11/23/2021
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
3/22/2018
11/23/2021
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
10/1/2003
8/18/2007
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
10/1/2003
8/18/2007
Active
Reliance Standard Life Insurance Company
300584
Agent - Life
1/20/2021
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
1/12/1996
10/1/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
1/12/1996
10/1/2003
Inactive
Standard Insurance Company
300185
Agent - Health
3/8/2010
12/5/2022
Inactive
Standard Insurance Company
300185
Agent - Life
3/8/2010
12/5/2022
Inactive
Standard Insurance Company
300185
Agent - Variable Life and Variable Annuities
3/8/2010
12/5/2022
Inactive
State Life Insurance Company
301497
Agent - Health
2/23/2000
6/26/2003
Inactive
State Life Insurance Company
301497
Agent - Life
2/23/2000
6/26/2003
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
5/13/1998
10/1/2012
Inactive
SunAmerica Life Insurance Company
300096
Agent - Health
5/21/1998
3/31/2003
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
5/21/1998
3/31/2003
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
12/18/1997
8/30/2024
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
12/18/1997
8/30/2024
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
5/31/2001
8/30/2024
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
12/18/1997
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
12/18/1997
12/24/2015
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
5/31/2001
12/24/2015
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
12/29/2006
10/20/2012
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Variable Life and Variable Annuities
12/29/2006
10/20/2012
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Health
4/23/1999
11/15/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Life
4/23/1999
11/15/2008
Inactive
Voya Retirement Insurance and Annuity Company
300643
Agent - Variable Life and Variable Annuities
5/31/2001
11/15/2008
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Raymond James Insurance Group, Inc.
398342
Agent - Health
6/13/2003
Active
Raymond James Insurance Group, Inc.
398342
Agent - Life
6/13/2003
Active
Raymond James Insurance Group, Inc.
398342
Agent - Variable Life and Variable Annuities
6/13/2003
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