black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

AVANTAX INSURANCE SERVICES INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN53210
Status:
First Licensure:
01/23/1998
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
3200 OLYMPUS BLVD STE 100
COPPELL, TX 75019-5889
Mailing:
3200 OLYMPUS BLVD STE 100
COPPELL, TX 75019-5889
Phone:
+1 (866) 218-8206
Fax:
+1 (972) 870-6455
Email:
licensing@avantax.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 01/23/1998 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
07/02/2004 LHF846 04/28/2025
AMERICAN GENERAL LIFE INSURANCE COMPANY
12/26/2013 LHF119
AMERICAN INTERNATIONAL LIFE ASSURANCE COMPANY OF NEW YORK
06/10/1998 LHF122 12/31/2010
AMERICAN NATIONAL INSURANCE COMPANY
08/01/2007 LHF11
AMERITAS LIFE INSURANCE CORP
02/02/2025 LHF944
BANNER LIFE INSURANCE COMPANY
03/11/2009 LHF50047
BRIGHTHOUSE LIFE INSURANCE COMPANY
10/10/2014 LHF277
C M LIFE INSURANCE COMPANY
04/01/2001 LHF906 12/05/2019
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY
03/25/2015 LHF407 05/27/2021
EVERLAKE LIFE INSURANCE COMPANY
03/20/2002 LHF112 03/12/2013
FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INS CO
05/20/1998 LHF170 05/25/2007
FIRST COLONY LIFE INSURANCE COMPANY
04/15/1998 LHF175 11/12/2003
FORTITUDE LIFE INSURANCE & ANNUITY COMPANY
01/10/2001 LHF770
GENERAL AMERICAN LIFE INSURANCE COMPANY
12/15/2003 LHF650 11/17/2009
GENWORTH LIFE & ANNUITY INSURANCE COMPANY
06/05/1998 LHF966 04/12/2016
GLENBROOK LIFE AND ANNUITY COMPANY
03/20/2002 LHF964 01/01/2005
GOLDEN RULE INSURANCE COMPANY
03/05/1998 LHF918 06/06/2005
GUARDIAN INSURANCE & ANNUITY COMPANY INC
03/24/2004 LHF27827 03/30/2005
GUARDIAN INSURANCE & ANNUITY COMPANY INC
06/22/2005 LHF27827 06/10/2009
JACKSON NATIONAL LIFE INSURANCE COMPANY
02/02/1998 LHF45199 06/01/2020
JEFFERSON NATIONAL LIFE INSURANCE COMPANY
07/19/2001 LHF682 09/30/2009
JOHN HANCOCK LIFE INSURANCE COMPANY
11/02/2000 LHF264 01/08/2010
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
01/01/2002 LHF210
JOHN HANCOCK VARIABLE LIFE INSURANCE COMPANY
11/02/2000 LHF858 11/13/2007
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
07/01/1998 LHF619 10/23/2025
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
04/01/2001 LHF17 12/05/2019
METLIFE INVESTORS USA INSURANCE COMPANY
10/14/2005 LHF934 11/17/2009
METLIFE INVESTORS USA INSURANCE COMPANY
02/26/2010 LHF934 11/14/2014
METROPOLITAN LIFE INSURANCE COMPANY
06/27/2005 LHF380
MUTUAL OF OMAHA INSURANCE COMPANY
07/11/2001 LHF84 11/29/2010
PACIFIC LIFE INSURANCE COMPANY
07/26/2007 LHF237 12/12/2019
PRINCIPAL LIFE INSURANCE COMPANY
06/06/2001 LHF406
PRUCO LIFE INSURANCE COMPANY
10/29/2008 LHF768 12/20/2021
PRUDENTIAL INSURANCE COMPANY OF AMERICA
10/29/2008 LHF252
SECURITY LIFE OF DENVER INSURANCE COMPANY
03/17/2000 LHF261 09/29/2012
STANDARD INSURANCE COMPANY
10/28/2013 LHF991 11/18/2022
STANDARD INSURANCE COMPANY
02/12/2025 LHF991 10/07/2025
TALCOTT RESOLUTION LIFE AND ANNUITY INSURANCE COMPANY
06/12/2014 LHF660
TALCOTT RESOLUTION LIFE INSURANCE COMPANY
11/07/2000 LHF822
TRANSAMERICA LIFE INSURANCE AND ANNUITY COMPANY
09/01/1999 LHF26 10/01/2005
TRANSAMERICA LIFE INSURANCE COMPANY
09/08/2005 LHF726 10/21/2020
VENERABLE INSURANCE AND ANNUITY COMPANY
02/06/2002 LHF841 05/18/2018
VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY
07/23/2002 LHF766 12/18/2015
WEST COAST LIFE INSURANCE COMPANY
05/20/2004 LHF47439 11/16/2011
WESTERN NATIONAL LIFE INSURANCE COMPANY
07/06/1998 LHF50722 07/27/2006

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DAVID ALEXANDER
01/10/2022 PRN407657
JASON ALLEN
06/22/2022 PRN412914
MATTHEW BROSSEAU
05/13/2025 PRN402337
FADI W. KHOURY
01/17/2023 PRN439797
DAVID KING
06/14/2024 PRN485790
WILLIAM PRETORY
03/26/2024 PRN369766
RYAN ROBERT STOVASH
05/07/2024 PRN476754

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
JASON ALLEN PRN412914

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
963731

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 12/01/2025 01:05:27 AM