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DEPARTMENT OF INSURANCE
Affiliations
Name
Personalized Brokerage Services, LLC
DOIID
536042
NAIC NPN
773840
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
8/24/2001
8/19/2005
Inactive
Non Resident
Agent
Health
8/24/2001
8/19/2005
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
8/24/2001
8/19/2005
* 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
8/24/2001
8/19/2005
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
8/24/2001
8/19/2005
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
8/24/2001
8/19/2005
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
7/12/2005
8/19/2005
Inactive
American National Insurance Company
301861
Agent - Life
1/11/2003
7/20/2005
Inactive
Americom Life & Annuity Insurance Company
301843
Agent - Health
7/5/2005
8/19/2005
Inactive
Americom Life & Annuity Insurance Company
301843
Agent - Life
10/14/2002
8/19/2005
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
9/26/2003
8/19/2005
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
12/14/2001
4/26/2004
Inactive
Conseco Insurance Company
301202
Agent - Health
3/8/2005
8/19/2005
Inactive
Conseco Insurance Company
301202
Agent - Life
3/8/2005
8/19/2005
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
7/5/2005
8/19/2005
Inactive
First Colony Life Insurance Company
301179
Agent - Life
9/19/2001
8/19/2005
Inactive
Genworth Life Insurance Company
300623
Agent - Health
7/21/2004
8/19/2005
Inactive
Genworth Life Insurance Company
300623
Agent - Life
7/21/2004
8/19/2005
Inactive
Golden Rule Insurance Company
301943
Agent - Health
10/1/2001
12/2/2002
Inactive
Golden Rule Insurance Company
301943
Agent - Life
10/1/2001
12/2/2002
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
8/9/2002
8/19/2005
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
9/18/2002
8/19/2005
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
10/11/2001
8/19/2005
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
10/11/2001
8/19/2005
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
6/12/2005
8/19/2005
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
6/12/2005
8/19/2005
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Health
10/21/2003
8/19/2005
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
10/21/2003
8/19/2005
Inactive
MedAmerica Insurance Company
301568
Agent - Health
2/27/2004
8/19/2005
Inactive
Midland National Life Insurance Company
300923
Agent - Life
4/26/2004
2/17/2005
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
10/18/2001
3/1/2004
Inactive
Nassau Life Insurance Company of Texas
300872
Agent - Health
2/17/2003
8/19/2005
Inactive
Nassau Life Insurance Company of Texas
300872
Agent - Life
2/17/2003
8/19/2005
Inactive
National Western Life Insurance Company
301515
Agent - Life
9/25/2001
7/6/2005
Inactive
New York Life Insurance Company
300431
Agent - Health
2/15/2005
5/6/2005
Inactive
New York Life Insurance Company
300431
Agent - Life
2/15/2005
5/6/2005
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
1/18/2003
8/19/2005
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
4/15/2004
8/19/2005
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
4/15/2004
8/19/2005
Inactive
Physicians Life Insurance Company
300924
Agent - Life
6/15/2005
8/19/2005
Inactive
Physicians Mutual Insurance Company, Inc.
301084
Agent - Health
6/15/2005
8/19/2005
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
2/11/2003
9/20/2004
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
2/11/2003
9/20/2004
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
1/30/2004
8/19/2005
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
1/30/2004
8/19/2005
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
2/4/2004
8/19/2005
Inactive
Shenandoah Life Insurance Company
300130
Agent - Life
11/21/2002
8/19/2005
Inactive
USG Annuity & Life Company
300457
Agent - Life
10/18/2001
1/1/2004
Inactive
Venerable Insurance and Annuity Company
301006
Agent - Life
1/1/2004
8/10/2005
Inactive
West Coast Life Insurance Company
301607
Agent - Health
1/17/2003
8/19/2005
Inactive
West Coast Life Insurance Company
301607
Agent - Life
1/17/2003
8/19/2005
Inactive
Wilco Life Insurance Company
300122
Agent - Life
4/3/2002
8/19/2005
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
9/13/2002
8/19/2005
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Foley, Jeffrey Allen
540472
Agent - Health
11/1/2001
8/19/2005
Inactive
Foley, Jeffrey Allen
540472
Agent - Life
11/1/2001
8/19/2005
Inactive
Foley, Jeffrey Allen
540472
Agent - Variable Life and Variable Annuities
11/1/2001
8/19/2005
Inactive
Lucius, Charles Edward
514191
Agent - Health
8/24/2001
4/25/2005
Inactive
Lucius, Charles Edward
514191
Agent - Life
8/24/2001
4/25/2005
Inactive
Lucius, Charles Edward
514191
Agent - Variable Life and Variable Annuities
8/24/2001
4/25/2005
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