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DEPARTMENT OF INSURANCE
Affiliations
Name
Prendergast Jr, William D
DOIID
591643
NAIC NPN
2479928
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Casualty
6/25/2004
11/30/2015
Inactive
Non Resident
Agent
Property
6/25/2004
11/30/2015
Inactive
Non Resident
Agent
Health
6/25/2004
11/30/2015
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
6/25/2004
11/30/2015
Inactive
Non Resident
Agent
Life
6/25/2004
11/30/2015
* 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
3/13/2008
12/23/2013
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
3/13/2008
12/23/2013
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
3/13/2008
12/23/2013
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
7/24/2008
11/30/2015
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
7/24/2008
11/30/2015
Inactive
American National Insurance Company
301861
Agent - Health
10/27/2014
11/30/2015
Inactive
American National Insurance Company
301861
Agent - Life
10/27/2014
11/30/2015
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
9/7/2006
6/13/2011
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
9/7/2006
6/13/2011
Inactive
Athene Annuity and Life Company
301893
Agent - Life
5/18/2009
1/14/2016
Inactive
C.M. Life Insurance Company
301335
Agent - Health
3/2/2005
12/28/2005
Inactive
C.M. Life Insurance Company
301335
Agent - Life
3/2/2005
12/28/2005
Inactive
Columbus Life Insurance Company
301227
Agent - Health
1/11/2006
2/27/2008
Inactive
Columbus Life Insurance Company
301227
Agent - Life
1/11/2006
2/27/2008
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
1/6/2012
7/10/2013
Inactive
Delaware Life Insurance Company
301256
Agent - Life
5/3/2007
11/3/2009
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
5/3/2007
11/3/2009
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
1/6/2012
7/10/2013
Inactive
Empower Annuity Insurance Company of America
300259
Agent - Life
2/28/2005
12/19/2005
Inactive
Everlake Life Insurance Company
300873
Agent - Health
8/4/2008
3/24/2009
Inactive
Everlake Life Insurance Company
300873
Agent - Life
8/4/2008
3/24/2009
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
8/4/2008
2/24/2009
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
8/1/2008
11/30/2015
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
8/1/2008
11/30/2015
Inactive
Genworth Life Insurance Company
300623
Agent - Health
8/23/2004
12/4/2007
Inactive
Genworth Life Insurance Company
300623
Agent - Life
8/23/2004
12/4/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
8/23/2004
12/20/2005
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
8/23/2004
12/20/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Life
8/23/2004
1/1/2005
Inactive
Glenbrook Life and Annuity Company
301384
Agent - Variable Life and Variable Annuities
8/23/2004
1/1/2005
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
1/6/2012
7/10/2013
Inactive
Humana Insurance Company
301104
Agent - Health
1/6/2012
7/10/2013
Inactive
Humana Insurance Company
301104
Agent - Life
1/6/2012
7/10/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
1/6/2012
7/10/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
1/6/2012
7/10/2013
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
6/28/2005
1/11/2006
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
6/28/2005
1/11/2006
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
6/28/2005
1/11/2006
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
6/28/2005
1/11/2006
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
6/28/2005
1/11/2006
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Variable Life and Variable Annuities
6/28/2005
1/11/2006
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
8/30/2004
6/7/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Variable Life and Variable Annuities
8/30/2004
6/7/2008
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
8/20/2004
6/8/2011
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
8/20/2004
6/8/2011
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Life
8/30/2004
12/12/2006
Inactive
John Hancock Variable Life Insurance Company
301914
Agent - Variable Life and Variable Annuities
8/30/2004
12/20/2006
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
8/4/2008
3/24/2009
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
8/4/2008
3/24/2009
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
8/4/2008
2/24/2009
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
3/2/2005
12/28/2005
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
3/2/2005
12/28/2005
Inactive
Midland National Life Insurance Company
300923
Agent - Life
11/28/2005
1/22/2009
Inactive
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
11/28/2005
1/22/2009
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
2/24/2009
6/4/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
2/24/2009
6/4/2014
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
8/25/2004
1/21/2006
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Health
8/8/2006
12/28/2006
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Life
8/8/2006
12/28/2006
Inactive
Nationwide Life Insurance Company of America
301134
Agent - Variable Life and Variable Annuities
8/8/2006
12/28/2006
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Health
8/7/2006
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Life
12/31/2009
12/31/2009
Inactive
Nationwide Life and Annuity Company of America
300172
Agent - Variable Life and Variable Annuities
8/7/2006
12/31/2009
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
6/4/2014
11/30/2015
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
2/24/2009
6/4/2014
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
12/31/2009
11/30/2015
Inactive
Pacific Life Insurance Company
301848
Agent - Life
9/7/2004
1/5/2006
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
9/7/2004
1/5/2006
Inactive
Principal Life Insurance Company
300129
Agent - Health
9/14/2004
12/8/2008
Inactive
Principal Life Insurance Company
300129
Agent - Life
9/14/2004
12/8/2008
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
9/14/2004
12/8/2008
Inactive
Pruco Life Insurance Company
300954
Agent - Health
2/22/2010
12/23/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Life
2/22/2010
12/23/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
2/22/2010
12/23/2014
Inactive
Selective Insurance Company of America
500018
Agent - Casualty
6/3/2008
11/30/2015
Inactive
Selective Insurance Company of America
500018
Agent - Property
6/3/2008
11/30/2015
Inactive
Selective Insurance Company of South Carolina
500012
Agent - Casualty
6/3/2008
11/30/2015
Inactive
Selective Insurance Company of South Carolina
500012
Agent - Property
6/3/2008
11/30/2015
Inactive
Selective Insurance Company of the Southeast
300381
Agent - Casualty
6/3/2008
11/30/2015
Inactive
Selective Insurance Company of the Southeast
300381
Agent - Property
6/3/2008
11/30/2015
Inactive
Standard Insurance Company
300185
Agent - Health
8/23/2004
4/21/2009
Inactive
Standard Insurance Company
300185
Agent - Life
8/23/2004
4/21/2009
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
1/12/2005
2/5/2006
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
1/12/2005
2/5/2006
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
1/12/2005
2/5/2006
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
1/12/2005
2/5/2006
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
1/12/2005
2/5/2006
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
1/12/2005
2/5/2006
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
10/28/2004
4/27/2006
Inactive
Transamerica Occidental Life Insurance Company
300966
Agent - Life
10/28/2004
7/8/2006
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
FHIS, Inc.
543875
Agent - Life
3/2/2005
2/6/2007
Inactive
FHIS, Inc.
543875
Agent - Health
3/2/2005
2/6/2007
Inactive
FHIS, Inc.
543875
Agent - Variable Life and Variable Annuities
3/2/2005
2/6/2007
Inactive
Prendergast Insurance, Inc.
551742
Agent - Casualty
8/3/2009
3/31/2012
Inactive
Prendergast Insurance, Inc.
551742
Agent - Property
8/3/2009
3/31/2012
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