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DEPARTMENT OF INSURANCE
Affiliations
Name
Securities Service Network, Inc
DOIID
961314
NAIC NPN
964611
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
1/28/2019
10/8/2020
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
1/28/2019
10/8/2020
Inactive
Non Resident
Agent
Life
1/28/2019
10/8/2020
* 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
American General Life Insurance Company
301585
Agent - Life
2/12/2020
10/8/2020
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
2/12/2020
10/8/2020
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
3/21/2019
10/8/2020
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
3/21/2019
10/8/2020
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
3/21/2019
10/8/2020
Inactive
CMFG Life Insurance Company
300929
Agent - Life
2/8/2019
10/8/2020
Inactive
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
2/8/2019
10/8/2020
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
11/7/2019
10/8/2020
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
11/7/2019
10/8/2020
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
4/30/2019
10/8/2020
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
4/30/2019
10/8/2020
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
8/15/2017
11/1/2018
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
8/15/2017
11/1/2018
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
2/14/2019
10/8/2020
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
6/27/2019
10/8/2020
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
6/27/2019
10/8/2020
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
6/27/2019
10/8/2020
Inactive
Midland National Life Insurance Company
300923
Agent - Life
3/25/2019
10/8/2020
Inactive
Midland National Life Insurance Company
300923
Agent - Variable Life and Variable Annuities
3/25/2019
10/8/2020
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
2/4/2019
10/8/2020
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
2/4/2019
10/8/2020
Inactive
Oceanview Life and Annuity Company
301868
Agent - Life
8/14/2020
10/8/2020
Inactive
Pacific Life Insurance Company
301848
Agent - Life
2/11/2019
10/8/2020
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
2/11/2019
10/8/2020
Inactive
Principal Life Insurance Company
300129
Agent - Health
2/5/2019
10/8/2020
Inactive
Principal Life Insurance Company
300129
Agent - Life
2/5/2019
10/8/2020
Inactive
Principal Life Insurance Company
300129
Agent - Variable Life and Variable Annuities
2/5/2019
10/8/2020
Inactive
Pruco Life Insurance Company
300954
Agent - Life
11/7/2019
10/8/2020
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
11/7/2019
10/8/2020
Inactive
State Life Insurance Company
301497
Agent - Health
4/1/2020
10/8/2020
Inactive
State Life Insurance Company
301497
Agent - Life
4/1/2020
10/8/2020
Inactive
Symetra Life Insurance Company
301691
Agent - Health
10/28/2019
10/8/2020
Inactive
Symetra Life Insurance Company
301691
Agent - Life
10/28/2019
10/8/2020
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
10/28/2019
10/8/2020
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
2/6/2019
10/8/2020
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Maas, Jonathan Elmer
326451
Agent - Health
1/28/2019
10/8/2020
Inactive
Maas, Jonathan Elmer
326451
Agent - Life
1/28/2019
10/8/2020
Inactive
Maas, Jonathan Elmer
326451
Agent - Variable Life and Variable Annuities
1/28/2019
10/8/2020
Inactive
Moore, Willard Ray
654355
Agent - Health
7/25/2017
8/31/2018
Inactive
Moore, Willard Ray
654355
Agent - Life
7/25/2017
8/31/2018
Inactive
Moore, Willard Ray
654355
Agent - Variable Life and Variable Annuities
7/25/2017
8/31/2018
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