DEPARTMENT OF INSURANCE

Affiliations

Name	Beckner, Jay David	DOIID	544165	NAIC NPN	7224023

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/12/2002	7/1/2004
Inactive	Resident	Agent	Life	3/12/2002	7/1/2004
Inactive	Resident	Agent	Variable Life and Variable Annuities	3/28/2002	7/1/2004
* 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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Health	6/10/2002	7/1/2004
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Life	6/10/2002	7/1/2004
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Variable Life and Variable Annuities	6/10/2002	7/1/2004
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	4/29/2002	1/1/2004
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Variable Life and Variable Annuities	4/29/2002	1/1/2004
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	4/29/2002	7/1/2004
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	4/29/2002	7/1/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	5/2/2002	7/1/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	5/2/2002	7/1/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	5/2/2002	7/1/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	4/29/2002	7/1/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	4/29/2002	7/1/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	5/2/2002	7/1/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	5/2/2002	7/1/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	5/2/2002	7/1/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/12/2002	3/3/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/12/2002	3/3/2004
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/28/2002	3/3/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	4/29/2002	7/1/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	4/29/2002	7/1/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	4/29/2002	7/1/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/24/2003	7/1/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Variable Life and Variable Annuities	7/24/2003	7/1/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	1/28/2004	7/1/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Life	4/29/2002	7/1/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	4/29/2002	7/1/2004
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/4/2002	7/1/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/4/2002	7/1/2004
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	5/9/2002	7/1/2004
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	6/18/2002	7/1/2004
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	6/18/2002	3/31/2003
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/29/2002	7/1/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/29/2002	7/1/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	4/29/2002	7/1/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	4/29/2002	7/1/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	4/29/2002	7/1/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	4/29/2002	7/1/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	4/29/2002	7/1/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	4/29/2002	7/1/2004
Inactive	Western National Life Insurance Company	300461	Agent - Life	3/6/2003	7/1/2004
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	6/19/2002	7/1/2004
Inactive	Zurich American Life Insurance Company	300216	Agent - Variable Life and Variable Annuities	6/19/2002	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Natcity Insurance Services Inc.	400871	Agent - Life	2/21/2003	7/1/2004