DEPARTMENT OF INSURANCE

Affiliations

Name	Racculia, Justin	DOIID	1271540	NAIC NPN	20600441

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	4/27/2023	3/31/2027
Active	Non Resident	Agent	Life	4/27/2023	3/31/2027
Active	Non Resident	Agent	Health	5/10/2023	3/31/2027
* 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	03/19/2025	03/19/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	5/22/2023	1/10/2024
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	5/12/2023	1/10/2024
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	4/30/2023	1/10/2024
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Variable Life and Variable Annuities	4/30/2023	1/10/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority
Denied	TBS Agency, Inc.	502294	Agent - Life
Denied	TBS Agency, Inc.	502294	Agent - Variable Life and Variable Annuities
Denied	TBS Agency, Inc.	502294	Agent - Health