black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

FIDELITY LIFE ASSOCIATION A LEGAL RESERVE LIFE INS CO

INSURANCE COMPANY

License Number:
LHF170
Status:
First Licensure:
07/22/1960
Cancel Date:
None
Renewal Date:
08/10/2025
NAIC Code:
63290

Street Location:
1350 E TOUHY AVE STE 205W
DES PLAINES, IL 60018-3303
Mailing:
1350 E TOUHY AVE STE 205W
DES PLAINES, IL 60018-3303
Phone:
+1 (312) 897-2342
Fax:
+1 (866) 375-8175
Email:
flastatefile@fidelitylife.com

History

License Type Start Date End Date
INSURANCE COMPANY 02/28/1990 08/10/2025

Employee

Name Issue Date License Number Expiration Date Cancel Date
ANTHONY ANDREWS
02/26/2021 PRN375696
REBECCA MARIE BERKMAN
04/09/2025 PRN383516
ROBERT STEVEN BLAND
01/23/2009 PRN47859
MICHAEL K. BOWCOCK
04/10/2020 PRN216233
CHRISTOPHER WILLIAM BRADY
05/20/2024 PRN477240
MEGHAN CEGIELSKI
02/01/2024 PRN448214
GEORGE CELAREK
04/02/2021 PRN376050
CRAIG RICHARD CESSNA
10/04/2018 PRN225490
ELIE CHLIMOUN
05/06/2020 PRN345995
LISSET CONTRERAS
05/05/2025 PRN492921
WILLIAM CURTIS COX
09/15/2015 PRN236082
DEBORAH S. DELASHMENT
02/18/2020 PRN342892
CARL ANDREW DESIENA
03/05/2015 PRN108365
TYLER DONALD FARRINGTON
01/13/2025 PRR284286
MATTHEW R. FIELDS
05/27/2021 PRN375566
ROMAN GARCIA
04/16/2024 PRN477584
REZA GHARAVI
05/14/2012 PRN107463
CURTIS GIVAN
02/20/2025 PRN497003
TOM GOSCIK
03/05/2021 PRN376173
PELISA GOZO-CRUZ
04/18/2024 PRN448219
CRAIG W. GRASS
11/01/2019 PRN332505
BRIAN P. GROVE
11/05/2021 PRN375747
SHALITA MARIE HARRIS
10/08/2020 PRN255477
NICOLAS HARTMAN
11/30/2022 PRN419750
JEREMY PAUL HEWETT
05/18/2023 PRN114343
PAUL ALBERT HOFFMANN
10/14/2024 PRN329994
MELISSA MAIRE HOHIMER
12/14/2023 PRN467739
MARGARET HOLTHOUSE
06/06/2023 PRN448335
LAUREN HUTCHISON
03/26/2021 PRN376136
LAURA BUSH JENKINS
06/27/2023 PRN448336
ANGEL M. JOHNSON
01/30/2024 PRN470301
JERMANI JOHNSON
06/06/2024 PRN476594
SHAWNA L. KILLOUGH
04/08/2013 PRN201984
JERRY LEE KIOUS
03/24/2023 PRN437810
GUS KOKENES
11/25/2024 PRN497570
YAMAJESTY LUMPKINS
02/13/2024 PRN376419
ISABELLA MALLEN
04/17/2023 PRN435360
ROSS WILLIAM MANSELL
03/05/2025 PRN202561
KEVIN MICHAEL MATLAK
01/25/2007 PRN93516
SHAYLA MAYWEATHER
08/10/2020 PRN356618
JOHN T. MCDONNELL
02/24/2023 PRN438146
TRUMAINE MILES
08/23/2016 PRN220704
VALERIE MIYAGAWA
04/04/2025 PRN497378
WILLIAM JOSEPH OTOOLE
08/18/2014 PRN197775
SKYLAR MEL PIERCE
02/07/2023 PRN225655
RUSSELL JAN PINNEY
10/29/2013 PRN87248
SABRINA ANN PRATHER
03/14/2025 PRN502264
DANIEL JOSEPH PRICE
10/17/2022 PRN162849
KENIA QUIROZ
04/14/2025 PRN498398
NICHOLAS REUTER
12/15/2022 PRN375629
ROLAND YASSER RODRIGUEZ
01/24/2024 PRN285255
ROSALIE ROZOS
01/07/2020 PRN342080
KAYTRYN SAMS
06/08/2023 PRN436323
THOMAS ANDREW SCHULTZ
05/27/2021 PRN376744
BRIAN SLUTSKIY
03/25/2021 PRN376137
JAMES D. SMITH
05/18/2021 PRN376135
JASMINE LATWAN SPANN
08/07/2023 PRN250696
MICHAEL TAUFER
02/06/2025 PRN481932
JONATHAN TAYLOR
03/15/2021 PRN376334
MICHAEL CHARLES TOBIAS
11/13/2018 PRN204066
JOHNATHAN A. TORRES
03/26/2025 PRN508235
JAMES TRIBBLE
07/03/2023 PRN448338
JAYCOB LEOPOLD TSCHUDY
09/14/2023 PRN447823
BYRON J. UDELL
11/27/2019 PRN45397
PAUL VAZQUEZ
08/14/2019 PRN327983
AMON Y. WALKER
06/08/2023 PRN448218
ESHO YOUEL
01/10/2018 PRN299910

Authority

Description Issue Date Termination Date Status
LIFE 03/01/1996 Active
HEALTH 03/01/1996 Active
HEALTH 01/01/1901 07/01/1995 Terminated
LIFE AND HEALTH 01/01/1901 03/01/1996 Terminated
LIFE 01/01/1901 07/01/1995 Terminated

Contacts

Type Contact
SERVICE OF PROCESS CT CORPORATION SYSTEMS
3 CHASE AVE
AUGUSTA, ME 04330-4525
PRODUCER LICENSING CONTACT DWAYNE BAILEY
DWAYNE BAILEY
8700 W BRYN MAWR AVE STE 900S
CHICAGO, IL 60631-3508
Email: agents@fidelitylife.com

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN)

Other Phone Numbers

Phone Number Type
+1 (603) 522-0392 Office

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: 05/21/2025 02:21:10 AM