DEPARTMENT OF INSURANCE
Affiliations
NamePreferred Product Network, Inc.DOIID399668NAIC NPN654511
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife2/25/1986 3/31/2026
ActiveNon ResidentAgentHealth2/25/1986 3/31/2026
ActiveNon ResidentAgentVariable Life and Variable Annuities3/12/2001 3/31/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities5/8/2001 
ActiveAmerican General Life Insurance Company301585Agent - Life12/31/2012 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/31/2012 
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health3/27/19864/2/2001
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life3/27/19864/2/2001
InactiveAmeritas Life Insurance Corporation300126Agent - Life7/29/201312/29/2014
InactiveAmeritas Life Insurance Corporation300126Agent - Variable Life and Variable Annuities7/29/201312/29/2014
InactiveAmeritas Variable Life Insurance Company300665Agent - Life4/2/20035/1/2007
InactiveAmeritas Variable Life Insurance Company300665Agent - Variable Life and Variable Annuities4/2/20035/1/2007
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life5/5/2003 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities5/5/2003 
ActiveC.M. Life Insurance Company301335Agent - Health2/28/2003 
ActiveC.M. Life Insurance Company301335Agent - Life2/28/2003 
ActiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities2/28/2003 
InactiveEmpower Annuity Insurance Company of America300259Agent - Health5/14/20081/3/2012
ActiveEmpower Annuity Insurance Company of America300259Agent - Life5/14/2008 
ActiveEmpower Annuity Insurance Company of America300259Agent - Variable Life and Variable Annuities5/14/2008 
InactiveEquitable Financial Life Insurance Company300808Agent - Life3/31/200012/28/2020
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities4/9/2001 
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life6/1/20224/5/2023
ActiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities6/1/2022 
InactiveEverlake Life Insurance Company300873Agent - Life11/4/200812/18/2013
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities11/4/200812/18/2013
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life11/6/2000 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/27/2001 
InactiveGeneral American Life Insurance Company300280Agent - Health3/3/200411/19/2009
InactiveGeneral American Life Insurance Company300280Agent - Life3/3/200411/19/2009
InactiveGeneral American Life Insurance Company300280Agent - Variable Life and Variable Annuities3/3/200411/19/2009
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life5/3/200410/5/2021
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities5/3/200410/5/2021
ActiveJackson National Life Insurance Company300486Agent - Life5/10/1999 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities4/18/2001 
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health8/24/19997/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life8/24/19997/2/2007
InactiveJohn Hancock Life Insurance Company300821Agent - Health2/17/200012/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life2/17/200012/30/2009
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health1/28/2000 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life1/28/2000 
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Health2/17/20002/24/2009
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life2/17/20002/24/2009
InactiveLincoln Benefit Life Company301110Agent - Health6/18/20137/14/2014
InactiveLincoln Benefit Life Company301110Agent - Life6/18/20137/14/2014
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities6/18/20137/14/2014
ActiveLincoln National Life Insurance Company (The)301382Agent - Health3/16/1996 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life3/16/1996 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/28/2001 
InactiveManhattan Life Insurance Company300880Agent - Life12/3/19912/11/2019
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Health1/28/200012/31/2001
InactiveManufacturers Life Insurance Company of America (The)300618Agent - Life1/28/200012/31/2001
InactiveManufacturers Life Insurance Company of North America301899Agent - Life1/19/20001/22/2002
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Health2/28/2003 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Life2/28/2003 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities2/28/2003 
InactiveMetLife Investors Insurance Company301872Agent - Health10/14/200811/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life10/14/200811/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities10/14/200811/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health7/26/201111/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life7/26/201111/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities7/26/201111/14/2014
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life5/5/200312/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Variable Life and Variable Annuities5/5/200312/7/2007
ActiveMetropolitan Life Insurance Company301948Agent - Health10/14/2008 
ActiveMetropolitan Life Insurance Company301948Agent - Life10/14/2008 
ActiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities10/14/2008 
InactiveNassau Life Insurance Company301406Agent - Health7/20/19941/31/2013
InactiveNassau Life Insurance Company301406Agent - Life7/20/19947/22/2011
InactiveNational Life Insurance Company301852Agent - Health9/9/200312/12/2008
InactiveNational Life Insurance Company301852Agent - Life9/9/200312/12/2008
InactiveNational Life Insurance Company301852Agent - Variable Life and Variable Annuities9/9/200312/12/2008
ActiveNationwide Life Insurance Company300495Agent - Health10/20/1994 
ActiveNationwide Life Insurance Company300495Agent - Life10/20/1994 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/26/2001 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life1/5/2009 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities1/5/2009 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life3/4/2025 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities3/4/2025 
InactivePHL Variable Insurance Company300525Agent - Health2/10/19952/1/2013
InactivePHL Variable Insurance Company300525Agent - Life2/10/19951/4/2013
ActivePacific Life Insurance Company301848Agent - Life5/4/2001 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities5/4/2001 
ActivePenn Insurance and Annuity Company300712Agent - Life4/5/2005 
ActivePenn Insurance and Annuity Company300712Agent - Variable Life and Variable Annuities4/5/2005 
ActivePenn Mutual Life Insurance Company301394Agent - Life4/5/2005 
ActivePenn Mutual Life Insurance Company301394Agent - Variable Life and Variable Annuities4/5/2005 
ActivePrincipal Life Insurance Company300129Agent - Health2/25/1986 
ActivePrincipal Life Insurance Company300129Agent - Life2/25/1986 
ActivePrincipal Life Insurance Company300129Agent - Variable Life and Variable Annuities3/12/2001 
ActivePruco Life Insurance Company300954Agent - Health12/9/2009 
ActivePruco Life Insurance Company300954Agent - Life12/9/2009 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities12/9/2009 
InactiveReliaStar Life Insurance Company301712Agent - Health2/19/20109/21/2012
InactiveReliaStar Life Insurance Company301712Agent - Life2/19/20109/21/2012
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities2/19/20109/21/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life1/2/200912/31/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities1/2/200912/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Life12/31/201212/31/2012
InactiveSunAmerica Life Insurance Company300096Agent - Variable Life and Variable Annuities12/31/201212/31/2012
InactiveSymetra Life Insurance Company301691Agent - Health2/6/199611/26/2001
InactiveSymetra Life Insurance Company301691Agent - Life2/6/199611/26/2001
ActiveTalcott Resolution Life Insurance Company301759Agent - Health11/13/2001 
ActiveTalcott Resolution Life Insurance Company301759Agent - Life11/13/2001 
ActiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities11/13/2001 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health11/13/2001 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/13/2001 
ActiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities11/13/2001 
ActiveTransamerica Life Insurance Company300571Agent - Health2/17/2009 
ActiveTransamerica Life Insurance Company300571Agent - Life2/17/2009 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities9/28/2011 
InactiveUnitedHealthcare Insurance Company300946Agent - Health11/25/20035/15/2006
InactiveUnitedHealthcare Insurance Company300946Agent - Life11/25/20035/15/2006
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health11/25/20035/15/2006
InactiveVenerable Insurance and Annuity Company301006Agent - Health4/1/20105/18/2018
InactiveVenerable Insurance and Annuity Company301006Agent - Life4/1/20105/18/2018
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities4/1/20105/18/2018
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Health7/9/1998 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Life7/9/1998 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities4/10/2001 
InactiveWashington National Insurance Company300587Agent - Health3/5/19876/21/1999
InactiveWashington National Insurance Company300587Agent - Life3/5/19876/21/1999
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health6/28/200112/21/2004
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life6/28/200112/21/2004
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities6/28/200112/21/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlbert, Joette P 554572Agent - Health1/23/20036/23/2017
InactiveAlbert, Joette P 554572Agent - Life1/23/20036/23/2017
InactiveAlbert, Joette P 554572Agent - Variable Life and Variable Annuities1/23/20036/23/2017
InactiveBarnhart, Deborah Jean 559255Agent - Health1/23/20034/12/2019
InactiveBarnhart, Deborah Jean 559255Agent - Life1/23/20034/12/2019
InactiveBarnhart, Deborah Jean 559255Agent - Variable Life and Variable Annuities1/23/20034/12/2019
InactiveBeitzel, Carla K 371041Agent - Health11/5/20182/4/2025
InactiveBeitzel, Carla K 371041Agent - Life11/2/20182/6/2025
InactiveBeitzel, Carla K 371041Agent - Variable Life and Variable Annuities11/2/20182/4/2025
InactiveBogart, Jerald Lee 364410Agent - Health2/23/199910/31/2005
InactiveBogart, Jerald Lee 364410Agent - Life2/23/199910/31/2005
InactiveBogart, Jerald Lee 364410Agent - Variable Life and Variable Annuities3/12/200110/31/2005
InactiveDavis, Clarence Edward 304193Agent - Health2/25/19867/1/2002
InactiveDavis, Clarence Edward 304193Agent - Life2/25/19867/1/2002
ActiveHardy, Staci A 1073731Agent - Health3/3/2025 
ActiveHardy, Staci A 1073731Agent - Life2/4/2025 
ActiveHardy, Staci A 1073731Agent - Variable Life and Variable Annuities2/4/2025 
InactiveMoore, Dennis 302305Agent - Health2/25/198612/1/2000
InactiveMoore, Dennis 302305Agent - Life2/25/198612/1/2000

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