DEPARTMENT OF INSURANCE
Affiliations
NameColburn, William DDOIID507273NAIC NPN7212659
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAgentMortgage Redemption   
InactiveResidentAgentLimited Line Credit8/28/20006/30/2004 
Pending Replacement CE ComplianceResidentAgentLife1/18/2011  
Pending Replacement CE ComplianceResidentAgentHealth1/18/2011  
Pending Replacement CE ComplianceResidentAgentVariable Life and Variable Annuities1/18/2011  
* 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
Agent02/15/202604/30/202603/31/202603/31/2026Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Pending ReplacementAllianz Life Insurance Company of North America301791Agent - Life9/7/2023 
Pending ReplacementAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities9/11/2023 
Pending ReplacementBanner Life Insurance Company301696Agent - Life3/22/2022 
Pending ReplacementFidelity & Guaranty Life Insurance Company301359Agent - Life8/12/2020 
InactiveForethought Life Insurance Company301407Agent - Health8/13/20212/18/2025
InactiveForethought Life Insurance Company301407Agent - Life8/13/20212/18/2025
InactiveForethought Life Insurance Company301407Agent - Variable Life and Variable Annuities8/13/20212/18/2025
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life3/31/201112/23/2014
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/31/201112/23/2014
InactiveLiberty Life Insurance Company301542Agent - Limited Line Credit8/10/20011/23/2002
DeniedLiberty Life Insurance Company301542Agent - Mortgage Redemption  
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Health1/12/2024 
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Life1/12/2024 
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/12/2024 
Pending ReplacementMidland National Life Insurance Company300923Agent - Life10/25/2017 
InactiveMutual of Omaha Insurance Company301012Agent - Health8/25/20207/22/2021
InactivePacific Life Insurance Company301848Agent - Health8/16/201312/8/2022
InactivePacific Life Insurance Company301848Agent - Life8/15/201312/8/2022
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/15/201312/8/2022
Pending ReplacementPrincipal National Life Insurance Company301926Agent - Life1/23/2017 
Pending ReplacementPrincipal National Life Insurance Company301926Agent - Variable Life and Variable Annuities1/23/2017 
InactiveProtective Life Insurance Company300638Agent - Health3/26/202311/23/2025
InactiveProtective Life Insurance Company300638Agent - Life3/26/202311/23/2025
InactiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities3/26/202311/23/2025
InactivePruco Life Insurance Company300954Agent - Health3/28/201112/22/2016
Pending ReplacementPruco Life Insurance Company300954Agent - Life2/10/2026 
Pending ReplacementPruco Life Insurance Company300954Agent - Variable Life and Variable Annuities2/10/2026 
InactivePrudential Insurance Company of America300784Agent - Life8/15/201312/22/2016
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities8/15/201312/22/2016
InactiveSouthern Financial Life Insurance Company300664Agent - Health11/22/20119/6/2017
InactiveSouthern Financial Life Insurance Company300664Agent - Life11/22/20119/6/2017
InactiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit8/28/20006/30/2004
Pending ReplacementStandard Insurance Company300185Agent - Health2/21/2023 
Pending ReplacementStandard Insurance Company300185Agent - Life2/21/2023 
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health9/13/201112/18/2015
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life9/13/201112/18/2015
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Variable Life and Variable Annuities9/13/201112/18/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveJ.J.B. Hilliard, W.L. Lyons, LLC679616Agent - Variable Life and Variable Annuities10/26/20112/4/2016
InactiveJ.J.B. Hilliard, W.L. Lyons, LLC679616Agent - Life10/26/20112/4/2016
InactiveJ.J.B. Hilliard, W.L. Lyons, LLC679616Agent - Health10/26/20112/4/2016
Pending ReplacementRaymond James Insurance Group, Inc.398342Agent - Variable Life and Variable Annuities8/12/2013 
Pending ReplacementRaymond James Insurance Group, Inc.398342Agent - Life8/12/2013 
Pending ReplacementRaymond James Insurance Group, Inc.398342Agent - Health5/2/2016 

© Commonwealth of Kentucky. All rights reserved.