DEPARTMENT OF INSURANCE

Affiliations

Name	SBSI Inc	DOIID	1152996	NAIC NPN	2102012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	10/26/2023	3/31/2025
Active	Non Resident	Agent	Health	10/26/2023	3/31/2025
Denied	Non Resident	Agent	Variable Life and Variable Annuities
* 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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Penn Insurance and Annuity Company	300712	Agent - Life	10/11/2022	3/31/2023
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	10/11/2022	3/31/2023
Active	Pruco Life Insurance Company	300954	Agent - Health	11/30/2023
Active	Pruco Life Insurance Company	300954	Agent - Life	11/30/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Sharfman, Howard E	545314	Agent - Health	10/26/2023
Active	Sharfman, Howard E	545314	Agent - Life	10/26/2023
Denied	Sharfman, Howard E	545314	Agent - Variable Life and Variable Annuities