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DEPARTMENT OF INSURANCE
Affiliations
Name
Elliott, William Forst
DOIID
599440
NAIC NPN
1792887
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
12/3/2004
9/30/2021
Inactive
Non Resident
Agent
Health
12/3/2004
9/30/2021
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
12/3/2004
9/30/2021
* 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
9/27/2011
12/23/2013
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
9/27/2011
12/23/2013
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
9/27/2011
12/23/2013
Inactive
American National Insurance Company
301861
Agent - Health
8/22/2006
5/27/2021
Inactive
American National Insurance Company
301861
Agent - Life
8/22/2006
9/30/2021
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
5/8/2019
9/30/2021
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
5/8/2019
9/30/2021
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
5/8/2019
9/30/2021
Inactive
CMFG Life Insurance Company
300929
Agent - Health
9/19/2007
5/7/2019
Inactive
CMFG Life Insurance Company
300929
Agent - Life
9/19/2007
5/7/2019
Inactive
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
9/19/2007
5/7/2019
Inactive
CUNA Mutual Life Insurance Company
301467
Agent - Health
3/6/2006
12/31/2007
Inactive
CUNA Mutual Life Insurance Company
301467
Agent - Life
3/6/2006
12/31/2007
Inactive
CUNA Mutual Life Insurance Company
301467
Agent - Variable Life and Variable Annuities
3/6/2006
12/31/2007
Inactive
Delaware Life Insurance Company
301256
Agent - Life
9/22/2006
10/23/2008
Inactive
Delaware Life Insurance Company
301256
Agent - Variable Life and Variable Annuities
9/22/2006
10/23/2008
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
12/2/2005
4/14/2006
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
12/2/2005
4/14/2006
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
4/2/2010
12/23/2014
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
4/2/2010
12/23/2014
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
5/31/2019
9/30/2021
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
5/31/2019
9/30/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
4/23/2019
10/21/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
4/23/2019
10/21/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
4/23/2019
10/21/2021
Inactive
MEMBERS Life Insurance Company
301289
Agent - Health
7/1/2013
5/7/2019
Inactive
MEMBERS Life Insurance Company
301289
Agent - Life
7/1/2013
5/7/2019
Inactive
MEMBERS Life Insurance Company
301289
Agent - Variable Life and Variable Annuities
7/1/2013
5/7/2019
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
12/6/2005
2/27/2006
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
12/6/2005
2/27/2006
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Variable Life and Variable Annuities
12/6/2005
2/27/2006
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
12/6/2005
2/27/2006
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
12/6/2005
2/27/2006
Inactive
Metropolitan Life Insurance Company
301948
Agent - Variable Life and Variable Annuities
12/6/2005
2/27/2006
Inactive
Pacific Life Insurance Company
301848
Agent - Life
12/2/2005
9/15/2014
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
12/2/2005
9/15/2014
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/22/2019
9/30/2021
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/22/2019
9/30/2021
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
4/22/2019
9/30/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Health
4/2/2010
12/23/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Life
4/2/2010
12/23/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
4/2/2010
12/23/2014
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
3/30/2006
12/29/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
3/30/2006
12/29/2008
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
3/30/2006
12/29/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
3/30/2006
12/29/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
3/30/2006
12/29/2008
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
3/30/2006
12/29/2008
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
4/28/2011
9/30/2021
Inactive
Transamerica Life Insurance Company
300571
Agent - Variable Life and Variable Annuities
4/28/2011
9/30/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Edward D Jones & Co. Limited Partnership
398146
Agent - Health
5/9/2019
10/20/2021
Inactive
Edward D Jones & Co. Limited Partnership
398146
Agent - Life
5/9/2019
10/20/2021
Inactive
Edward D Jones & Co. Limited Partnership
398146
Agent - Variable Life and Variable Annuities
5/9/2019
10/20/2021
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