DEPARTMENT OF INSURANCE
Affiliations
NameGroholski, David PaulDOIID915392NAIC NPN11029667
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/12/2016 8/31/2025
ActiveNon ResidentAgentHealth5/12/2016 8/31/2025
ActiveNon ResidentAgentVariable Life and Variable Annuities5/12/2016 8/31/2025
* 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
Agent06/15/202508/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health4/24/201712/10/2024
InactiveAmerican General Life Insurance Company301585Agent - Life4/24/201712/10/2024
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities4/24/201712/10/2024
ActiveBrighthouse Life Insurance Company301829Agent - Health5/24/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Life5/24/2016 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities5/24/2016 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health5/12/2016 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life5/12/2016 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/12/2016 
InactiveMetropolitan Life Insurance Company301948Agent - Health5/24/20164/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life5/24/20164/28/2018
InactiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities5/24/20164/28/2018
ActiveProtective Life Insurance Company300638Agent - Health5/23/2016 
ActiveProtective Life Insurance Company300638Agent - Life5/23/2016 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities5/23/2016 
ActivePruco Life Insurance Company300954Agent - Life5/2/2023 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities5/2/2023 
ActiveTransamerica Life Insurance Company300571Agent - Health6/8/2020 
ActiveTransamerica Life Insurance Company300571Agent - Life5/25/2016 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities5/25/2016 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveEdward D Jones & Co. Limited Partnership398146Agent - Health5/25/2016 
ActiveEdward D Jones & Co. Limited Partnership398146Agent - Life5/25/2016 
ActiveEdward D Jones & Co. Limited Partnership398146Agent - Variable Life and Variable Annuities5/25/2016 

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