DEPARTMENT OF INSURANCE

Affiliations

Name	Fedor, Jacob L.	DOIID	512874	NAIC NPN	3420532

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/6/2000	1/31/2025
Active	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	1/31/2025
Active	Non Resident	Agent	Health	9/6/2000	1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	8/19/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	8/19/2020
Active	American General Life Insurance Company	301585	Agent - Life	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	10/20/2000	9/19/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	10/20/2000	9/19/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Variable Life and Variable Annuities	5/31/2001	9/19/2005
Active	Banner Life Insurance Company	301696	Agent - Life	11/27/2013
Active	Brighthouse Life Insurance Company	301829	Agent - Health	11/14/2014
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Active	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	11/14/2014
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Health	10/10/2000	12/31/2005
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Life	12/16/2013	11/23/2022
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Variable Life and Variable Annuities	6/22/2001	12/31/2005
Inactive	Delaware Life Insurance Company	301256	Agent - Life	11/2/2000	12/13/2006
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	7/3/2001	12/13/2006
Active	Eagle Life Insurance Company	701261	Agent - Life	9/3/2014
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	4/13/2014	12/28/2018
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	4/13/2014	12/28/2018
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	4/13/2014	12/28/2018
Inactive	Everlake Life Insurance Company	300873	Agent - Life	10/16/2000	8/17/2009
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	5/31/2001	8/17/2009
Active	Forethought Life Insurance Company	301407	Agent - Health	7/21/2014
Active	Forethought Life Insurance Company	301407	Agent - Life	7/21/2014
Active	Forethought Life Insurance Company	301407	Agent - Variable Life and Variable Annuities	7/21/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Health	5/8/2003	12/4/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/8/2003	12/4/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/17/2000	12/5/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	10/17/2000	12/5/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Variable Life and Variable Annuities	5/31/2001	12/5/2007
Active	Jackson National Life Insurance Company	300486	Agent - Life	8/31/2012
Active	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	8/31/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/25/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/25/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	10/25/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	11/2/2005	4/18/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	11/2/2005	4/18/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	11/2/2005	12/31/2010
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	10/25/2005	12/11/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	10/25/2005	12/20/2006
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/10/2000
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/10/2000
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	5/31/2001
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	9/6/2000	11/14/2014
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	9/6/2000	11/14/2014
Inactive	MetLife Investors Insurance Company	301872	Agent - Variable Life and Variable Annuities	5/31/2001	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/23/2009	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	6/23/2009	11/14/2014
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/3/2000	12/10/2012
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/3/2000	12/10/2012
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/31/2001	12/10/2012
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	8/22/2001	6/16/2009
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	8/22/2001	6/16/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	5/31/2001	12/8/2017
Inactive	Protective Life Insurance Company	300638	Agent - Health	10/16/2000	11/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	10/16/2000	11/23/2009
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	5/31/2001	11/23/2009
Active	Pruco Life Insurance Company	300954	Agent - Life	11/22/2022
Active	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	11/22/2022
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	4/22/2002	3/6/2006
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	4/22/2002	3/6/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	10/16/2000	11/16/2011
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	10/16/2000	11/16/2011
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	5/31/2001	11/16/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	10/16/2000	12/21/2015
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	10/16/2000	12/21/2015
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	5/31/2001	12/21/2015
Active	Transamerica Life Insurance Company	300571	Agent - Health	6/12/2009
Active	Transamerica Life Insurance Company	300571	Agent - Life	6/12/2009
Active	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	10/11/2010
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	8/17/2001	8/26/2008
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	8/17/2001	8/26/2008
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	10/12/2000	12/12/2006
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	10/12/2000	12/12/2006
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Variable Life and Variable Annuities	5/31/2001	12/12/2006
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/24/2002	12/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	A. G. Edwards & Sons LLC	399372	Agent - Life	5/3/2001	3/31/2010
Inactive	A. G. Edwards & Sons LLC	399372	Agent - Health	5/3/2001	3/31/2010
Inactive	A. G. Edwards & Sons LLC	399372	Agent - Variable Life and Variable Annuities	5/3/2001	3/31/2010
Active	Raymond James Insurance Group, Inc.	398342	Agent - Life	6/9/2009
Active	Raymond James Insurance Group, Inc.	398342	Agent - Health	6/9/2009
Active	Raymond James Insurance Group, Inc.	398342	Agent - Variable Life and Variable Annuities	6/9/2009
Active	Wells Fargo Advisors Insurance Agency LLC	399972	Agent - Life	12/10/2008
Active	Wells Fargo Advisors Insurance Agency LLC	399972	Agent - Health	12/10/2008
Active	Wells Fargo Advisors Insurance Agency LLC	399972	Agent - Variable Life and Variable Annuities	12/10/2008