black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

EXECUTIVE INSURANCE AGENCY INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN59547
Status:
First Licensure:
12/11/1998
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
130 SPRINGSIDE DR STE 300
AKRON, OH 44333-2489
Mailing:
130 SPRINGSIDE DR STE 300
AKRON, OH 44333-2489
Phone:
+1 (330) 576-1234
Fax:
+1 (330) 576-1250
Email:
licensing@valmarkfg.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/11/1998 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA
10/04/2001 LHF846
AMERICAN GENERAL LIFE INSURANCE COMPANY
08/29/2002 LHF119 10/25/2012
AMERICAN GENERAL LIFE INSURANCE COMPANY
01/18/2017 LHF119
AMERICAN MODERN HOME INSURANCE COMPANY
08/02/2006 PCF808 11/22/2021
AMICA LIFE INSURANCE COMPANY
09/05/2023 LHF896
AUGUSTAR LIFE INSURANCE COMPANY
05/25/2012 LHF979 01/08/2019
BRIGHTHOUSE LIFE INSURANCE COMPANY
04/01/1999 LHF277
C M LIFE INSURANCE COMPANY
07/01/2002 LHF906
EMPOWER ANNUITY INSURANCE COMPANY
04/21/2009 LHF1011
EMPOWER ANNUITY INSURANCE COMPANY OF AMERICA
02/21/2007 LHF874
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY
02/03/2003 LHF407 01/22/2024
EQUITABLE FINANCIAL LIFE INSURANCE COMPANY OF AMERICA
10/06/2023 LHF916
FIRST COLONY LIFE INSURANCE COMPANY
01/14/1999 LHF175 01/01/2007
FIRST PENN-PACIFIC LIFE INSURANCE COMPANY
12/01/2001 LHF47438 06/27/2005
FORTITUDE LIFE INSURANCE & ANNUITY COMPANY
08/05/2002 LHF770
GENERAL AMERICAN LIFE INSURANCE COMPANY
09/12/2005 LHF650 11/12/2009
GENWORTH LIFE & ANNUITY INSURANCE COMPANY
08/01/1999 LHF966 04/25/2014
GENWORTH LIFE INS CO
12/01/2000 LHF46264 05/19/2020
GUARDIAN INSURANCE & ANNUITY COMPANY INC
07/28/2011 LHF27827
JACKSON NATIONAL LIFE INSURANCE COMPANY
08/09/2007 LHF45199
JEFFERSON PILOT FINANCIAL INSURANCE COMPANY
09/16/2002 LHF933 07/02/2007
JEFFERSON PILOT LIFE INSURANCE COMPANY
09/16/2002 LHF42700 04/02/2007
JOHN HANCOCK LIFE INSURANCE COMPANY
09/01/2005 LHF264 01/08/2010
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)
01/13/2016 LHF210
JOHN HANCOCK VARIABLE LIFE INSURANCE COMPANY
09/01/2005 LHF858 11/13/2007
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
01/10/1999 LHF619
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
07/01/2002 LHF17
METLIFE INVESTORS USA INSURANCE COMPANY
07/27/2005 LHF934 11/14/2014
METLIFE LIFE AND ANNUITY COMPANY OF CONNECTICUT
04/01/1999 LHF50128 12/07/2007
METROPOLITAN LIFE INSURANCE COMPANY
09/12/2005 LHF380
MINNESOTA LIFE INSURANCE COMPANY
03/24/2003 LHF216
MUTUAL OF OMAHA INSURANCE COMPANY
12/24/2018 LHF84
NATIONWIDE LIFE & ANNUITY INSURANCE COMPANY
10/29/2010 LHF62021
NATIONWIDE LIFE INSURANCE COMPANY
01/22/1999 LHF29
NEW ENGLAND LIFE INSURANCE COMPANY
09/12/2005 LHF940 11/12/2009
NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION
08/12/2003 LHF867
NEW YORK LIFE INSURANCE COMPANY
08/12/2003 LHF230
OLD LINE LIFE INSURANCE COMPANY OF AMERICA
08/29/2002 LHF24 03/31/2003
PACIFIC LIFE INSURANCE COMPANY
02/24/1999 LHF237
PENN INSURANCE AND ANNUITY COMPANY
01/31/2024 LHF65787
PENN MUTUAL LIFE INSURANCE COMPANY
01/31/2024 LHF242
PRINCIPAL LIFE INSURANCE COMPANY
04/26/2002 LHF406
PRINCIPAL NATIONAL LIFE INSURANCE COMPANY
02/05/2010 LHF161852
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
12/28/2001 LHF250 03/29/2007
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
12/29/2016 LHF250
PRUCO LIFE INSURANCE COMPANY
03/24/2005 LHF768
PRUDENTIAL INSURANCE COMPANY OF AMERICA
12/18/2007 LHF252
RELIASTAR LIFE INSURANCE COMPANY
08/29/2003 LHF22 10/05/2012
STARMOUNT LIFE INSURANCE COMPANY
12/29/2016 LHD131525
STATE LIFE INSURANCE COMPANY
11/28/2016 LHF984
SYMETRA LIFE INSURANCE COMPANY
02/01/2002 LHF777
TALCOTT RESOLUTION LIFE AND ANNUITY INSURANCE COMPANY
10/25/2002 LHF660
TALCOTT RESOLUTION LIFE INSURANCE COMPANY
10/25/2002 LHF822
TRANSAMERICA LIFE INSURANCE COMPANY
10/16/2008 LHF726
TRANSAMERICA OCCIDENTAL LIFE INSURANCE COMPANY
11/20/2006 LHF23 10/02/2008
UNITED OF OMAHA LIFE INSURANCE COMPANY
12/24/2018 LHF28
UNUM LIFE INSURANCE COMPANY OF AMERICA
12/28/2001 LHD145 03/29/2007
UNUM LIFE INSURANCE COMPANY OF AMERICA
12/29/2016 LHD145
VENERABLE INSURANCE AND ANNUITY COMPANY
02/15/2002 LHF841 05/18/2018
VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY
07/26/2002 LHF766 01/29/2004
VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY
11/21/2006 LHF766
WEST COAST LIFE INSURANCE COMPANY
07/12/2006 LHF47439 11/16/2011
WESTERN NATIONAL LIFE INSURANCE COMPANY
09/04/2002 LHF50722 06/09/2005
WESTERN RESERVE LIFE ASSURANCE COMPANY OF OHIO
12/29/2000 LHF851 10/01/2003

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MATTHEW LUCAS AREY
11/09/2021 PRR201224
THOMAS WELLINGTON BISHOP
08/05/2013 PRN42233
WILLIAM J. BOERSMA
02/11/2022 PRN410145
JENNIFER LYNN BRETON
03/20/2019 PRR43987
JAY ROBERT BROWN
03/20/2019 PRN139982
BENJAMIN C. BRUTON
02/12/2021 PRN336364
SETH JOHN BUCKLEY
03/20/2019 PRN47999
REBECCA BURCHILL
03/20/2019 PRR74250
JAMES LAURENCE BUSH
05/07/2024 PRN15197
CALEB CALLAHAN
02/06/2015 PRN245910
RICHARD BANCROFT CAMMACK
06/27/2005 PRN65164
ROBERT JOHN CASAZZA
02/12/2021 PRN149430
GORDON THOMAS CHISHOLM
03/20/2019 PRN113994
GUS HENRY COMISKEY JR
01/03/2011 PRN110039
MICHAEL BEN DRANOFF
06/27/2005 PRN84521
GARRETT DUCHESNE
05/03/2024 PRR270256
THOMAS E. FAY
03/20/2019 PRN166790
CHARLES JAY FELDMAN
01/03/2011 PRN178776
SERGIO FERNANDEZ
02/17/2023 PRN285284
SETH PATRICK FREEMAN
09/27/2022 PRN250800
MARYJO GALLE
02/12/2021 PRN340101
KATHERINE E. GLIDDEN
08/13/2024 PRN214301
DAVID HANNA GOODFELLOW
12/01/2020 PRN369128
ROBERT ALLEN GRAVES
01/06/2023 PRN321200
TATE GROOME
02/12/2021 PRN290126
MONTE JAMES HARRICK
03/22/2019 PRN149468
PHILIP EDWARD HARRIMAN
06/27/2005 PRR7031
JONATHAN D. HERBRUCK
04/04/2016 PRN264369
PATRICK HORNE
02/12/2021 PRN202789
STEPHEN MARION KAUFMAN
05/13/2020 PRN110440
CHRISTOPHER ALLEN KLIMASH
03/22/2019 PRR72449
LINDA CROSBIE LEVYNE
11/02/2023 PRN381877
GREGORY ALAN LOPEZ
10/19/2021 PRN353883
ANDREW C. LORD
02/12/2021 PRN37642
HUNTER CHARLES THOMAS LORD
02/12/2021 PRN342039
ROBERT A. MACARTHUR
05/01/2024 PRN32816
DAVID S. MCKECHNIE
09/30/2004 PRN63279
MATTHEW M. MCKENZIE
01/03/2011 PRN154942
WILLIAM MILLER MCNAMARA
01/03/2011 PRN150623
RHONDA LYNN MILLER
04/03/2023 PRN201036
WARREN MARSHALL MILLER II
01/03/2011 PRN96385
SHELBY D. MORGAN
04/04/2016 PRN233449
BRADLEY JOHN MUELLER
08/23/2005 PRN83309
SCOTT BRADFORD PEELEN
02/22/2024 PRN477103
DAVID LAWRENCE PELLAND
03/22/2019 PRN248943
HENRY BURL PILGER
04/04/2016 PRN234942
DEREK JASON REED
09/30/2004 PRN107338
WILLIAM DRAKE RICHEY
05/07/2024 PRN468153
MICHELINE M. ROMANO
04/26/2007 PRR70309
DAVID MARC ROSELL
11/09/2021 PRN359661
STEPHEN OTTO ROTHSCHILD SR
01/03/2011 PRN92825
LAWRENCE J. RYBKA
12/11/1998 PRN48037
KENNETH R. SAMUELSON
03/29/2022 PRN324113
WILLIAM G. SCHIFFMAN
02/12/2021 PRN295167
KRYSTALYNN MICHELE SCHLEGEL
03/24/2023 PRN341911
RANDY S. SCHUSTER
08/18/2020 PRN244975
ROBERT C. SLANE
03/22/2019 PRN69827
BARTLETT CHURCHILL SNYDER
09/18/2018 PRN317220
LAURA CHRISTINE STEFFEY
11/29/2021 PRN225098
MATTHEW G. TUCKER
03/03/2025 PRN489829
RONALD B. WARE
06/27/2005 PRN85813
CRAIG ALLAN WELCH
02/12/2021 PRN311036
JOHN DAVID WILLIAMS
03/22/2019 PRN223273
JAMI WILSON
01/30/2025 PRN506685
GARY THOMAS WOLFF
04/26/2007 PRN75834

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
LAWRENCE J. RYBKA PRN48037

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
957587

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: 05/13/2025 06:39:09 AM